Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker Gamma3 Trochanteric Nail 180 - 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 This publication sets forth detailed recommended procedures for using Stryker Trauma 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, contraindictions, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when neccessary. Note: 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 Introduction Design Features of the Gamma3 System Lag Screw and Set Screw Function Distal Locking Screws Gamma3 System Benefits Indications / Contraindications 4 5 6 7 8 9 Operative Technique Implant Selection Patient Positioning and Fracture Reduction Incision Entry Point Preparation of Medullary Canal One Step Conical Reamer Cannulated Cutter Assembly of Targeting Device Nail Insertion Lag Screw Positioning using One Shot Device Lag Screw Insertion Lag Screw Fixation Distal Screw Locking End Cap Insertion Nail Extension End Caps Postoperative Care and Rehabilitation Extraction of the Gamma3 Implants Dealing with Special Cases 10 11 12 14 14 16 18 19 22 23 24 29 33 35 36 36 37 39 Ordering Information − Instruments Ordering Information − Implants 40 43 Publications 46 3
- Page 1: Gamma3 Trochanteric Nail 180 Operat
- Page 5 and 6: Features Design Features of the Gam
- Page 7 and 8: Implant Features Distal Locking Scr
- Page 9 and 10: Implant Features Fig. 7 Indications
- Page 11 and 12: Operative Technique Patient Positio
- Page 13 and 14: Operative Technique The C-Arm is tu
- Page 15 and 16: Operative Technique Alternative 1:
- Page 17 and 18: Operative Technique The Trocar is t
- Page 19 and 20: Operative Technique Assembly of Tar
- Page 21 and 22: Operative Technique Before checking
- Page 23 and 24: Operative Technique The Lag Screw s
- Page 25 and 26: Operative Technique Pre-Drilling th
- Page 27 and 28: Operative Technique Lock K-Wire win
- Page 29 and 30: Operative Technique Lag Screw Fixat
- Page 31 and 32: Operative Technique To verify the c
- Page 33 and 34: Operative Technique Distal Screw Lo
- Page 35 and 36: Operative Technique End Cap Inserti
- Page 37 and 38: Operative Technique Extraction of t
- Page 39 and 40: Operative Technique Dealing with Sp
- Page 41 and 42: Ordering Information - Instruments
- Page 43 and 44: Implants Packaging All implants are
- Page 45 and 46: Ordering Information - Implants Tro
- Page 47 and 48: Notes 47
<strong>Trochanteric</strong> <strong>Nail</strong> <strong>180</strong><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 />
This publication sets forth detailed<br />
recommended procedures for using<br />
<strong>Stryker</strong> Trauma devices and instruments.<br />
It offers guidance that you should<br />
heed, but, as with any such technical<br />
guide, each surgeon must consider the<br />
particular needs of each patient and<br />
make appropriate adjustments when<br />
and as required. A workshop training<br />
is required prior to first surgery.<br />
See package insert (L22000007) for<br />
a complete list of potential adverse<br />
effects, contraindictions, 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 neccessary.<br />
Note:<br />
All bone screws referenced in this<br />
document here are not approved for<br />
screw attachment or fixation to the<br />
posterior elements (pedicles) of the<br />
cervical, thoracic or lumbar spine.<br />
2
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