Triathlon knee system surgical protocol surgical approaches the following section explains the main types of mis surgical techniques, midvastus and subvastus, as well as the standard open medial parapatellar approach. Anteroposterior a and lateral b view radiographs of the left leg in a 71yearold patient with an infected revision total knee arthroplasty. The vanguard xp total knee instrumentation is designed for a standard surgical technique figure 2. Extraction of the wichita fusion nail after knee arthrodesis. A sterile thighhigh tourniquet is employed when possible, and the previous anterior knee incision from nail insertion is used for the surgical approach. Enhanced fixation via threaded screw holes and polyethylene bushings offer better solutions for the fixation of complex fractures. Arthroscopic ankle and subtalar arthrodesis indications. Fusion of the knee with a long intramedullary nail can be safe and effective, even in the presence of infection, if the revision is performed properly and certain technical principles are followed. A trigen knee fusion nail smith and nephew, memphis, tn, united states is. Revision knee surgical technique djo surgical, as the manufacturer of this device, does not practice medicine and cannot recommend this or any other surgical technique for use on a specific patient. If a united knee arthrodesis is infected, the nail must be removed. Trigen humeral nail features include trapezoidal nail profile, four multiplanar proximal screws and multiple lengths bent and straight. Hcp content posted september 15, 2016 in surgical techniques. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone.
The trigen hindfoot fusion nail hfn brings the simplified instrumentation of the trigen nail system to the hindfoot. Trigen knee nail retrograde femoral technique cambridge. Similar devices, however, such as the trigen knee fusion nail smith. The development of implants and instruments led to two distinct surgical techniques during the early development of knee arthroplasty. Pdf knee arthrodesis is a limb salvage option for complex periprosthetic joint infections where revision total knee. Small incision total knee replacement tkr is a new, less invasive surgical technique that enables patients to recover faster, regain more mobility and experience less pain. The patient should be positioned supine on a radiolucent flattop table. Total knee replacement surgical technique the stone clinic. The knee fusion nail comes in 5590cm lengths in 5cm increments. Show 98 results for healthcare professional content.
The trigen sureshot distal targeting system was designed to mimic the perfect circle technique and has virtually no learning curve. This nailing system was designed to facilitate arthrodesis of the calcaneus, talus, and tibia, allowing fusion of the calcaneocubo. Cementing technique in tkr wed, dec 18, 2019 faculty. Apr 28, 20 the t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. Sep 15, 2016 vanguard id total knee surgical technique. Rheumatoid arthritis ra is an autoimmune disease characterized by synovial joint destruction.
Mar 18, 2015 a trigen knee fusion nail smith and nephew, memphis, tn, united states is prepared with an antibiotic cement coating utilizing silicone tubing as described by thonse et al and a static antibiotic cementcoated spacer is fashioned to fit the knee joint gap. The knee nail may also be used for treatment of non unions or malunions as well as prophylactic nailings of impending pathological fractures. This arthrodesis nail brochure is presented to demonstrate the surgical technique utilized by michael o. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. The srom noiles rotating hinge knee is a system that allows intraoperative construction of a customized implant to handle any hard or soft tissue defects seen at revision surgery. The nail is titanium and is intended to be inserted from proximal to distal. Cruciate retaining cr and revision instrumentation.
Specific indications include the fixation of middiaphyseal, proximal and distal fractures of the femur, tibia, fibula, humerus and forearm fractures. Release the patella tendon to create space on the lateral side of the tibia. Utilizing the same trigen instruments, the tan was developed to simplify the surgical approach by allowing placement of the nail through the greater trochanter instead of the piriformis fossa. Kneealign 2 system surgical technique manual kneealign 2 system surgical technique manual 10 femur femur set resection plane set desired varusvalgus and flexionextension angles using ball driver to adjust microblocks navigation screws. Wichita fusion nail for patients with failed total knee arthroplasty and active infection. This video is part of a collection of animations that effectively showcase the novel features of trigen intertan and how they compare to. The t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Bone lengthening is effective for managing the bone defect and the lld in a younger patient population bone loss and the softtissue envelope dictate the knee fusion method and in some cases more than one method is needed.
Stryker orthopaedics extends its sincere thanks to the global triathlon ts knee system surgeon panel for their dedication to the development and refinement of the triathlon knee system and instrumentation. Domingo lj, caballero mj, cuenca j, herrera a, sola a, herrero l. Stryker t2 knee arthrodesis nail system which medical. Trigen knee nail lateral view for antegrade insertion. Management of knee rheumatoid arthritis and tibia nonunion.
There are a full range of sizes for a comprehensive approach to the treatment of femoral fractures. Minimally invasive surgical technique for knee replacement improves recovery time related content. Trigen intertan solution reduction maintenance youtube. It incorporates a curvature which allows the nail to curve the length of the limb and is compatible with other stryker t2 instrumentation. Introduction while knee arthrodesis is an uncommon procedure in the. The trigen knee nail is indicated for shaft fractures between the proximal and distal third of the tibia. The zimmer revision knee arthroplasty surgical guidelines is strongly recommended for a more complete discussion on revision total knee arthroplasty technique. For total knee arthroplasty using the quadsparing technique. Total knee replacement surgical technique the steps involved in replacing the knee begin with making an incision on the front of the knee to allow access to the knee joint. Pdf knee arthrodesis in the infected total knee arthroplasty. All these factors have made arthroscopic surgery, our first choice technique for ankle and subtalar arthrodesis. In addition, we will discuss our indications and surgical technique for the. The trigen meta nail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. When selecting the appropriate nail size take all aspects of the fracture into consideration.
Diagnoses included tuberculosis two knees, congenital knee dislocation in two knees one patient, bacterial septic arthritis one knee, malunited spontaneous fusion one knee, and severe gout. As an addition to the already successful trigen intramedullary nail system, the trigen hfn uses the simplified instrumentation that. Knee arthrodesis can be successfully accomplished as an alternative to aka in the multiply failed tkr patient. T2 knee arthrodesis nail system which medical device. Cruciate retaining cr and revision instrumentation surgical. The following surgical technique is for knee arthrodesis following a failed total. The trigen metanail tibial nail is the latest addition to the trigen family of intramedullary nails. This booklet can be ordered through zimmer, reference catalog number 97522403. The trigen meta nail tibial nail is the latest addition to the trigen family of intramedullary nails. The technique described herein is made available to the.
Locking is the same as standard knee nail except for 50mm. Each nail is supplied sterile packaged together with a set screw in one box. Please keep in mind that variations in magnification do occur. The zimmer revision knee arthroplasty surgical guidelines booklet is recommended for a more complete discussion on revision total knee arthroplasty technique. The technique described utilizing the sign nail is both safe and effective for knee arthrodesis and useful for austere environments with limited. Hindfoot fusion nail surgical technique as described by. This website uses cookies to help you get the most out of your experience during your visit, and we can improve the content served to you by collecting statistical information. Infected knee arthrodesis with retained short intramedullary nail. Depuy synthes, thomas schmalzried, j bohannon mason, fabrizio billi. Vanguard id total knee surgical technique zimmer biomet tv. Gamma3 trochanteric nail 180 cambridge orthopaedics. Diagnoses included tuberculosis two knees, congenital knee dislocation in two. Images on this page are not shown to scale preoperative planning the following surgical technique is for knee arthrodesis following a failed total knee arthroplasty. Arthroscopic ankle and subtalar arthrodesis induces less trauma to the soft tisues and this translates in a lower complication rate, a shorter hospital stay, an early mobilization and a higher success rate.
T2 flexible nail is intended for the temporary stabilization of bone segments or fragments until bone consolidation has been achieved for upper and lower extremity fractures of pediatric patients. Evaluate the efficacy of using the sign nail for instrumented knee fusion methods. The t2 humeral nailing system is systems to offer an option for either an antegrade or a retrograde approach to repair fractures of the humerus. Introduction the triathlon knee system instrumentation has been developed based on strykers 30year orthopaedic history. Revision knee system is comprised of the following components. The trigen hindfoot fusion nail hfn offers unique locking configurations allowing the surgeon to target the best bone possible within the hindfoot to maximize purchase and position.
Navigation unit must be oriented within its operating. Haas, chief of the knee service at hss pioneered this new. The largest reamer head that the trigen base instrument tray can hold is 16mm. In combination with the superior trigen im nail system, the trigen sureshot distal targeting system allows surgeons to exercise maximum control in the operating theatre, benefitting everyone including the. An anterior bony window is made at the fusion site, and the im nail is identified. The attune intuition instrumentation is intended for use with the attune knee system implants only and should not be considered interchangeable with any other instrumentation. Surgical technique patellar tendon rupture repair using dallmiles cable. Finally we will discuss some novel therapies emerging, including discussion of. Advanced concepts in knee arthrodesis pubmed central pmc. There are no videos available for your current audience. The trigen meta nail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions and for the prophylactic nailing of impending pathological fractures. The choice of the appropriate surgical technique is the responsibility of the surgeon performing the operation. This surgical technique provides guidelines for the implantation of the attune knee system family of fixed bearing knees with the attune intuition instrumentation. Evaluate the efficacy of using the sign nail for instrumented knee fusion.
Arthrodesis of the knee with a long intramedullary nail following. The nail is titanium and is intended to be inserted from proximal. This booklet can be ordered through zimmer, reference catalog number 97522400300. Trigen knee nail and distal tibial nail specifications 1535mm nondriving end of supracondylar knee nail ml view 10 driving end of nail all knee nails and distal tibia nondriving end of nail ml view note. One implant, two approaches stryker osteosynthesis has created a locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing. The trigen knee fusion nail is one of the trigen series of intramedullary nails. The epub format uses ebook readers, which have several ease of reading. In cases of hip joint pathology or knee pathology with significant bone loss e. Temporary knee fusion is accomplished by inserting both an antibiotic cementcoated intramedullary knee fusion nail. Haller2, and abebe chala feyissa1 1 soddo christian hospital, soddo, ethiopia 2 university of utah department of orthopaedics, salt lake city, utah, usa received 28 may 2015, accepted 30 november 2015, published online 5 february 2016. Minimally invasive surgical technique for knee replacement. Tibial components are available in eight sizes tibial metaphyseal sleeves are available in 29 mm, 37 mm, 45 mm, 53 mm and 61 mm sizes ml dimension tibial wedge augmentation components.
Anterior cruciate ligament reconstruction in athletes with an ossicle associated with osgood schlatters disease. For femoral anterior cut first surgical techniques. Indications include transverse, comminuted, spiral, oblique,and segmental fractures. Trigen hindfoot fusion nail design the trigen hindfoot fusion nail hfn brings the simplified instrumentation of the trigen nail system to the hindfoot. Position the carm for an ap view of the distal tibia. This incision has become shorter now that we use minimallyinvasive surgical instruments and techniques.
Trigen metanail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures. The proximal section of the implant is mm and is angled at 5 to accommodate the more lateral entry site. Six consecutive patients seven knees, three males with an average age of 30. Patellar tendon rupture repair using dallmiles cable. Expert tibial nail surgical technique depuy synthes 11 3 confirm nail length and diameter instrument 03. With over 10 years and over 2 million implantations worldwide, triathlon has a long clinical history. With a full range of sizes, the tibial nail is a comprehensive approach to the treatment of tibial fractures. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. Article in the journal of bone and joint surgery 89.