T2 Tibial Nailing System - Stryker
T2 Tibial Nailing System - Stryker T2 Tibial Nailing System - Stryker
Tibial Nailing System Contributing Surgeons Prof. Dr. med. Volker Bühren Chief of Surgical Services Medical Director of Murnau Trauma Center Murnau, Germany Kyle F. Dickson, MD, MBA Professor and Chairman University of Texas Medical School at Houston Department of Orthopaedic Surgery Houston, Texas USA Paul Tornetta, III, M. D. Director of Orthopaedic Trauma, Boston Medical Center Professor and Vice Chairman Department of Orthopaedic Surgery Boston University School of Medicine Boston, Massachusetts USA This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required. A workshop training is required prior to first surgery. See package insert (L22000007) for a complete list of potential adverse effects, contraindications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary. Warning: All bone screws referenced in this document here are not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. 2
Contents Page 1. Introduction 4 Implant Features 4 Technical Details 5 Instrument Features 6 References 6 2. Indications and Relative Contraindications 7 Pre-operative Planning 7 3. Operative Technique 8 Patient Positioning Options and Reduction 8 Incision 8 Entry Point 8 Unreamed Technique 9 Reamed Technique 9 Nail Selection 10 Nail Insertion 10 Guided Locking Mode (via Target Device) 13 Static Locking Mode 14 Freehand Distal Locking 16 End Cap Insertion 17 Dynamic Locking Mode 18 Apposition /Compression Locking Mode 19 Advanced Locking Mode 20 Nail Removal 21 8mm End Cap & Blocking Screw Technique 22 Blocking Screw Technique (optional) 23 Ordering Information – Implants 24 Ordering Information – Instruments 28 3
- Page 1: T2 Tibial Nailing System Operative
- Page 5 and 6: Introduction Technical Details Nail
- Page 7 and 8: Indications and Contraindications I
- Page 9 and 10: Operative Technique Unreamed Techni
- Page 11 and 12: Operative Technique Caution: Prior
- Page 13 and 14: Operative Technique Guided Locking
- Page 15 and 16: Operative Technique The Short Troca
- Page 17 and 18: Operative Technique Note: A fully t
- Page 19 and 20: Operative Technique Apposition/ Com
- Page 21 and 22: Operative Technique To insert the p
- Page 23 and 24: Features and Benefits Blocking Scre
- Page 25 and 26: Ordering Information - Implants T2
- Page 27 and 28: Ordering Information - Implants 8mm
- Page 29 and 30: Ordering Information - Instruments
- Page 31 and 32: Ordering Information - Instruments
<strong>Tibial</strong> <strong>Nailing</strong> <strong>System</strong><br />
Contributing Surgeons<br />
Prof. Dr. med. Volker Bühren<br />
Chief of Surgical Services<br />
Medical Director of Murnau Trauma Center<br />
Murnau, Germany<br />
Kyle F. Dickson, MD, MBA<br />
Professor and Chairman<br />
University of Texas Medical School at Houston<br />
Department of Orthopaedic Surgery<br />
Houston, Texas<br />
USA<br />
Paul Tornetta, III, M. D.<br />
Director of Orthopaedic Trauma, Boston Medical Center<br />
Professor and Vice Chairman<br />
Department of Orthopaedic Surgery<br />
Boston University School of Medicine<br />
Boston, Massachusetts<br />
USA<br />
This publication sets forth detailed<br />
recommended procedures for using<br />
<strong>Stryker</strong> Osteosynthesis devices and<br />
instruments.<br />
It offers guidance that you should<br />
heed, but, as with any such technical<br />
guide, each surgeon must consider<br />
the particular needs of each patient<br />
and make appropriate adjustments<br />
when and as required.<br />
A workshop training is required prior<br />
to first surgery.<br />
See package insert (L22000007) for<br />
a complete list of potential adverse<br />
effects, contraindications, warnings<br />
and precautions. The surgeon must<br />
discuss all relevant risks, including<br />
the finite lifetime of the device, with<br />
the patient, when necessary.<br />
Warning:<br />
All bone screws referenced in this<br />
document here are not approved<br />
for screw attachment or fixation<br />
to the posterior elements (pedicles)<br />
of the cervical, thoracic or<br />
lumbar spine.<br />
2
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