Untitled - Stryker
Untitled - Stryker Untitled - Stryker
Trochanteric Nail 180 Contributing Surgeons Prof. Kwok Sui Leung, M. D. Chairman of Department of Orthopaedics and Traumatology The Chinese University of Hong Kong Prince of Wales Hospital Hong Kong Asst. Prof. Gilbert Taglang, M. D. Department of Traumatology University Hospital, Strasbourg France Prof. Dr. med. Volker Bühren Chief of Surgical Services Medical Director of Murnau Trauma Center, Murnau Germany Katsumi Sato M. D. Ph. D. Vice-Director, Chief Surgeon Tohoku University Graduate School of Medicine Tohoku Rosai Hospital, Sendai Japan Christopher T. Born, M. D. Professor of Orthopaedic Surgery Department of Orthopaedic Trauma Brown University School of Medicine Providence, Rhode Island USA Robert Probe, M. D. Chairman - Department of Orthopaedic Surgery Scott & White Memorial Hospital, Temple, Tx USA Prof. Dr. med. Vilmos Vécsei Chief of Traumatology Department University of Vienna, Vienna Austria 2 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. All non-sterile devices must be cleaned and sterilized before use. Follow the instructions provided in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/ disassembly instructions. 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: Fixation Screws: Stryker Ostreosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.
Contents Page 1. Introduction 4 2. Features 5 Design Features of the Gamma3 System 5 Lag Screw and Set Screw Function 6 Distal Locking Screws 7 Gamma3 System Benefits 8 3. Indications, Precautions & Contraindications 9 Indications 9 Contraindications 9 Precautions 9 4. Operative Technique 10 Pre-operative Planning 10 Implant Selection 10 Patient Positioning 11 Fracture Reduction 11 Incision 12 Entry Point 14 Opening the Cortex 14 Preparation of Medullary Canal 15 Assembly of Targeting Device 22 Nail Insertion 25 Lag Screw Positioning using One Shot Device 27 Lag Screw Insertion 28 Pre-Drilling the lateral cortex 29 Lag Screw Insertion 32 Lag Screw Fixation 33 Distal Screw Locking 37 End Cap Insertion 39 Nail Extension End Caps 40 Post-operative Care and Rehabilitation 40 Extraction of the Gamma3 Implants 41 Dealing with Special Cases 43 Ordering Information – Implants 44 Ordering Information – Implants 47 References 50 3
- Page 4 and 5: Introduction The Gamma3 Locking Nai
- Page 6 and 7: Features Lag Screw and Set Screw Fu
- Page 8 and 9: Features D d D > d Fig. 6 Gamma3 Sy
- Page 10 and 11: Operative Technique Pre-operative P
- Page 12 and 13: Operative Technique Incision Incisi
- Page 14 and 15: Operative Technique Incision Using
- Page 16 and 17: Operative Technique When reaming is
- Page 18 and 19: Operative Technique The Trocar is t
- Page 20 and 21: Operative Technique Alternative 4:
- Page 22 and 23: Operative Technique Assembly of Tar
- Page 24 and 25: Operative Technique Before checking
- Page 26 and 27: Operative Technique When the Gamma3
- Page 28 and 29: Operative Technique Lag Screw Inser
- Page 30 and 31: Operative Technique Warning: In the
- Page 32 and 33: Operative Technique Lag Screw Inser
- Page 34 and 35: Operative Technique Lag Screw Fixat
- Page 36 and 37: Operative Technique Alternative: Se
- Page 38 and 39: Operative Technique The Trocar is n
- Page 40 and 41: Operative Technique Nail Extension
- Page 42 and 43: Operative Technique Step IV (Fig. 6
- Page 44 and 45: Implants Packaging All implants are
- Page 46 and 47: Ordering Information - Implants TRO
- Page 48 and 49: Ordering Information - Instruments
- Page 50 and 51: References Publications More than 1
Trochanteric Nail 180<br />
Contributing Surgeons<br />
Prof. Kwok Sui Leung, M. D.<br />
Chairman of Department of Orthopaedics and Traumatology<br />
The Chinese University of Hong Kong<br />
Prince of Wales Hospital<br />
Hong Kong<br />
Asst. Prof. Gilbert Taglang, M. D.<br />
Department of Traumatology<br />
University Hospital, Strasbourg<br />
France<br />
Prof. Dr. med. Volker Bühren<br />
Chief of Surgical Services<br />
Medical Director of Murnau Trauma Center, Murnau<br />
Germany<br />
Katsumi Sato M. D. Ph. D.<br />
Vice-Director, Chief Surgeon<br />
Tohoku University Graduate School of Medicine<br />
Tohoku Rosai Hospital, Sendai<br />
Japan<br />
Christopher T. Born, M. D.<br />
Professor of Orthopaedic Surgery<br />
Department of Orthopaedic Trauma<br />
Brown University School of Medicine<br />
Providence, Rhode Island<br />
USA<br />
Robert Probe, M. D.<br />
Chairman - Department of Orthopaedic Surgery<br />
Scott & White Memorial Hospital, Temple, Tx<br />
USA<br />
Prof. Dr. med. Vilmos Vécsei<br />
Chief of Traumatology Department<br />
University of Vienna, Vienna<br />
Austria<br />
2<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 />
All non-sterile devices must be<br />
cleaned and sterilized before use.<br />
Follow the instructions provided in<br />
our reprocessing guide (L24002000).<br />
Multi-component instruments must<br />
be disassembled for cleaning. Please<br />
refer to the corresponding assembly/<br />
disassembly instructions.<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 the<br />
finite lifetime of the device, with the<br />
patient, when necessary.<br />
Warning:<br />
Fixation Screws:<br />
<strong>Stryker</strong> Ostreosynthesis bone<br />
screws are not approved or<br />
intended for screw attachment or<br />
fixation to the posterior elements<br />
(pedicles) of the cervical,<br />
thoracic or lumbar spine.
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