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<strong>T2</strong><br />
IM Nailing System
Introduction<br />
Kiel Plant History<br />
100 years ago, on December 5, 1904,<br />
when Ernst Pohl founded the company<br />
that was eventually to become <strong>Stryker</strong><br />
Trauma GmbH, nobody could<br />
have imagined the extraordinary<br />
developments that would result from<br />
the collaboration between Dr. Ernst<br />
Pohl and Prof. Gerhard Küntscher.<br />
The Küntscher and Pohl team<br />
established the technical and clinical<br />
principles on which the closed<br />
technique of intramedullary nailing<br />
of long tubular bones is based. When<br />
this was first introduced in 1939,<br />
intramedullary nailing was regarded<br />
as a revolutionary method that<br />
challenged the proven and established<br />
procedures of the time. Prominent<br />
opinion leaders in trauma surgery<br />
were scathingly critical. From the<br />
beginning, however, support came<br />
from Prof. Fischer, the Director of<br />
Surgery at Kiel University Hospital,<br />
who was convinced “that Mr.<br />
Küntscher‘s procedures represent a<br />
great advancement” and history has<br />
proved him right.<br />
In the intervening years the technique<br />
of intramedullary nailing has been<br />
developed and refined many times<br />
over. Today it is the method of choice<br />
used by trauma and orthopaedic<br />
surgeons throughout the world<br />
for treating a wide range of long<br />
bone fractures. Whilst many other<br />
manufacturers have subsequently<br />
produced locking nails based on the<br />
principles established by Küntscher<br />
the birthplace of the technique is and<br />
remains Kiel, the place from which<br />
the Küntscher nail began its spread<br />
around the globe. From this place,<br />
many innovative, pioneering products<br />
have been introduced worldwide and<br />
many more will surely follow.<br />
Staff in front of the barracks in the Hospitalstraße 5−7, Kiel (1953)<br />
Main entrance <strong>Stryker</strong> Trauma GmbH (2009)<br />
2<br />
<strong>Stryker</strong> Osteosynthesis is steeped in<br />
this tradition of innovation. Within<br />
the <strong>Stryker</strong> Corporation, it focuses<br />
exclusively on the intramedullary<br />
treatment of fractures of long<br />
bones and develops, manufactures<br />
and distributes intramedullary<br />
locking nails and their associated<br />
instrumentation to the worldwide<br />
market. <strong>Stryker</strong> Osteosynthesis has<br />
created a new generation nailing<br />
system, bringing together all the<br />
capabilities and benefits of seperate<br />
nailing systems to create a single,<br />
integrated surgical resource for<br />
fixation of long bone-fractures.<br />
The <strong>T2</strong> Intramedullary Nailing<br />
System is <strong>Stryker</strong>´s latest and most<br />
comprehensive development of the<br />
original intramedullary nailing<br />
principles presented by Prof. Gerhard<br />
Küntscher in 1940.
Features & Benefits<br />
Material Advantages<br />
All <strong>T2</strong> implants are made of Type II<br />
anodized titanium alloy (Ti6AL4V) for<br />
enhanced biomechanical performance.<br />
Anodization:<br />
Ti 6Al 4V<br />
non anodized<br />
Fatigue Strength*<br />
Wear Rates*<br />
Screw Improvements<br />
<strong>T2</strong> 5mm versus GK 6.28mm (100%)<br />
Ti 6Al 4V Type III<br />
anodized<br />
3<br />
Ti 6Al 4V Type II<br />
anodized<br />
Improved Fatigue Strength* Lower Insertion Torque* Improved Thread/Head Design<br />
Due to the rounded geometry of<br />
the thread and the specialized<br />
manufacturing techniques used,<br />
the <strong>T2</strong> 5mm screws are stronger<br />
than the clinically successful<br />
6.28mm and 4.6mm GK screws.<br />
105% 50%<br />
Cosmetic Treatment Functional Treatment<br />
100% 100% 115%<br />
23,70 mg 3,29 mg 0,05 mg<br />
* test data available on request<br />
** White Paper (B1000033) available on request<br />
For Other Implants For <strong>T2</strong> Implants<br />
<strong>T2</strong> 5mm versus GK 6.28mm (100%)<br />
Shorter srew tip with 3 cutting<br />
flutes for:<br />
• Faster, easier “Start”<br />
• Better grip and less irritation<br />
• Low profile head design to minimize<br />
irritation<br />
• Optimized interference between<br />
screw and nail hole reduces<br />
torsional play significantly**<br />
Transition from the screw thread to<br />
the head is right angled in order to:<br />
• Prevent fracture during insertion<br />
• Increase feel on final tightening
Features & Benefits<br />
Proximal Humeral Nail<br />
Precise Placement<br />
• Multiple End Cap lengths<br />
• Easy implant removal<br />
• Enhanced stability due to interference<br />
with subchondral bone<br />
Versatility<br />
• 6˚ bend<br />
• Lateral entry medial to the<br />
greater tuberosity<br />
• Central insertion at the top of<br />
the humeral head<br />
Dynamic Locking<br />
• Promotes fracture healing by<br />
allowing micromotion<br />
• Reduces risk of nail protrusion<br />
Short Long<br />
4<br />
Stable Fixation<br />
• Four threaded locking holes<br />
• Nylon bushing to prevent<br />
backout.<br />
• Four 5.0mm screws in multiple<br />
planes<br />
Easy Insertion<br />
• Cannulated design<br />
• Reamed or unreamed insertion<br />
over 2.2×800mm Guide Wire
Ordering Information - Implants<br />
<strong>T2</strong> Proximal Humerus Nail (REF 1832-xxxx)<br />
Proximal Locking:<br />
5.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard<br />
+2mm<br />
+4mm<br />
short<br />
long<br />
Titanium Diameter Length<br />
REF mm mm<br />
1896-5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
1896-5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1832-0003S 6 Standard<br />
1832-0002S 10 +2<br />
1832-0004S 10 +4<br />
Length REF REF<br />
mm Ø8mm/left Ø8mm/right<br />
150 1025S 1015S<br />
220 (long) 2822S 3822S<br />
240 (long) 2824S 3824S<br />
260 (long) 2826S 3826S<br />
280 (long) 2828S 3828S<br />
300 (long) 2830S 3830S<br />
Example: <strong>T2</strong> Proximal Humerus Nail right Ø8mm×260mm = 1832-3826S<br />
Distal Locking:<br />
4.0mm Fully Threaded Locking Screws<br />
Titanium Diameter Length<br />
REF mm mm<br />
Washer<br />
round<br />
rectangular<br />
small<br />
5<br />
1896-4020S 4.0 20<br />
1896-4022S 4.0 22<br />
1896-4024S 4.0 24<br />
1896-4025S 4.0 25<br />
1896-4026S 4.0 26<br />
1896-4028S 4.0 28<br />
1896-4030S 4.0 30<br />
1896-4032S 4.0 32<br />
1896-4034S 4.0 34<br />
1896-4035S 4.0 35<br />
1896-4036S 4.0 36<br />
1896-4038S 4.0 38<br />
1896-4040S 4.0 40<br />
1896-4045S 4.0 45<br />
1896-4050S 4.0 50<br />
1896-4055S 4.0 55<br />
1896-4060S 4.0 60<br />
Titanium Diameter Dimension<br />
REF mm mm<br />
1832-0007S 17 –<br />
(round)<br />
1832-0008S – 10×18<br />
(rectangular)<br />
1832-0009S – 8×14.7<br />
(small)
Features & Benefits<br />
Humeral Nail<br />
Precise Placement<br />
• Multiple End Cap lengths<br />
• Easy implant removal<br />
Versatility<br />
• Transverse locking<br />
• Oblique locking<br />
• Option of dynamization and<br />
mechanical compression<br />
Antegrade Retrograde<br />
6<br />
Reduced Inventory<br />
• ONE nail for antegrade or<br />
retrograde insertion<br />
• ONE nail for left or right<br />
• 4.0mm screws only<br />
Easy Insertion<br />
• Cannulated design<br />
• Reamed or unreamed insertion<br />
over 2.2×800mm Guide Wire<br />
• 4˚ bend at the nail end for easy<br />
insertion in retrograde approach<br />
Less Pain Potential *<br />
• Up to 6mm of active compression<br />
• Early weight bearing<br />
• Promotes fracture healing of nonunions<br />
* Thomas Mueckley, Oliver Gonschorek,<br />
Volker Buehren “Compression Nailing of<br />
Long Bones” Eur J Trauma 2003; 29:113–28
Ordering Information - Implants<br />
<strong>T2</strong> Humeral Locking Nail (REF 1830-xxxx)<br />
4.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard +5mm +10mm<br />
+15mm +20mm +25mm<br />
Titanium Diameter Length<br />
REF mm mm<br />
1896-4020S 4.0 20<br />
1896-4022S 4.0 22<br />
1896-4024S 4.0 24<br />
1896-4025S 4.0 25<br />
1896-4026S 4.0 26<br />
1896-4028S 4.0 28<br />
1896-4030S 4.0 30<br />
1896-4032S 4.0 32<br />
1896-4034S 4.0 34<br />
1896-4035S 4.0 35<br />
1896-4036S 4.0 36<br />
1896-4038S 4.0 38<br />
1896-4040S 4.0 40<br />
1896-4045S 4.0 45<br />
1896-4050S 4.0 50<br />
1896-4055S 4.0 55<br />
1896-4060S 4.0 60<br />
Titanium Diameter Length<br />
REF mm mm<br />
1830-0003S 6.0 Standard<br />
1830-0005S 8.0 +5<br />
1830-0010S 8.0 +10<br />
1830-0015S 8.0 +15<br />
1830-0020S 8.0 +20<br />
1830-0025S 8.0 +25<br />
Length REF REF REF<br />
mm Ø7mm Ø8mm Ø9mm<br />
140 0714S 0814S 0914S<br />
160 0716S 0816S 0916S<br />
180 0718S 0818S 0918S<br />
190 0719S 0819S 0919S<br />
200 0720S 0820S 0920S<br />
210 0721S 0821S 0921S<br />
220 0722S 0822S 0922S<br />
230 0723S 0823S 0923S<br />
240 0724S 0824S 0924S<br />
250 0725S 0825S 0925S<br />
260 0726S 0826S 0926S<br />
270 0727S 0827S 0927S<br />
280 0728S 0828S 0928S<br />
290 0729S 0829S 0929S<br />
300 0730S 0830S 0930S<br />
310 0731S 0831S 0931S<br />
320 0732S 0832S 0932S<br />
Example: <strong>T2</strong> Humeral Nail Ø8mm×260mm = 1830-0826S<br />
4.0mm Partially Threaded Locking Screws<br />
Washer<br />
round<br />
rectangular<br />
Titanium Diameter Length<br />
REF mm mm<br />
1891-4020S 4.0 20<br />
1891-4022S 4.0 22<br />
1891-4024S 4.0 24<br />
1891-4025S 4.0 25<br />
1891-4026S 4.0 26<br />
1891-4028S 4.0 28<br />
1891-4030S 4.0 30<br />
1891-4032S 4.0 32<br />
1891-4034S 4.0 34<br />
1891-4035S 4.0 35<br />
1891-4036S 4.0 36<br />
1891-4038S 4.0 38<br />
1891-4040S 4.0 40<br />
1891-4045S 4.0 45<br />
1891-4050S 4.0 50<br />
1891-4055S 4.0 55<br />
1891-4060S 4.0 60<br />
Titanium Diameter Dimension<br />
REF mm mm<br />
1830-0008S round –<br />
1830-0009S – square<br />
Advanced Compression Screw, Humerus<br />
7<br />
Titanium Diameter<br />
REF mm<br />
1830-0001S 6.0
Features & Benefits<br />
Femoral Nail<br />
Precise Placement<br />
• Multiple End Cap lengths<br />
• Easy implant removal<br />
Less Pain Potential *<br />
• Up to 10mm of active<br />
compression<br />
• Early weight bearing<br />
• Promotes fracture healing of<br />
non-unions<br />
Antegrade Retrograde<br />
8<br />
Reduced Inventory<br />
• ONE nail for antegrade or<br />
retrograde insertion<br />
• ONE nail for left or right<br />
• 5.0mm screws only<br />
Easy Insertion<br />
• Cannulated design<br />
• Reamed or unreamed insertion<br />
over 3×1000mm Guide Wire<br />
• No Guide Wire exchange required<br />
Stable Fixation<br />
• 5.0mm cannulated Condyle Screws<br />
• Polyaxial Washers<br />
• Insertion over K-Wires<br />
• Up to 7mm of mediolateral<br />
interfragmentary compression<br />
• End Cap tightens down on most<br />
distal Locking Screw/Condyle Screw<br />
and provides angular stability<br />
* Thomas Mueckley, Oliver Gonschorek,<br />
Volker Buehren “Compression Nailing of<br />
Long Bones” Eur J Trauma 2003; 29:113–28
Ordering Information - Implants<br />
<strong>T2</strong> Femoral Locking Nail (REF 1825-xxxx)<br />
5.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard +5mm +10mm<br />
+15mm +20mm +25mm<br />
Titanium Diameter Length<br />
REF mm mm<br />
1896-5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
1896-5030S 5.0 30.0<br />
1896-5032S 5.0 32.5<br />
1896-5035S 5.0 35.0<br />
1896-5037S 5.0 37.5<br />
1896-5040S 5.0 40.0<br />
1896-5042S 5.0 42.5<br />
1896-5045S 5.0 45.0<br />
1896-5047S 5.0 47.5<br />
1896-5050S 5.0 50.0<br />
1896-5052S 5.0 52.5<br />
1896-5055S 5.0 55.0<br />
1896-5057S 5.0 57.5<br />
1896-5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1822-0003S 8.0 Standard<br />
1822-0005S 11.5 + 5<br />
1822-0010S 11.5 +10<br />
1822-0015S 11.5 +15<br />
1822-0020S 11.5 +20<br />
1822-0025S 11.5 +25<br />
1822-0030S 11.5 +30<br />
1822-0035S 11.5 +35<br />
Length REF REF REF REF REF REF REF<br />
mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm Ø15mm<br />
140 0914S 1014S 1114S 1214S 1314S 1414S 1514S<br />
160 0916S 1016S 1116S 1216S 1316S 1416S 1516S<br />
180 0918S 1018S 1118S 1218S 1318S 1418S 1518S<br />
200 0920S 1020S 1120S 1220S 1320S 1420S 1520S<br />
220 0922S 1022S 1122S 1222S 1322S 1422S 1522S<br />
240 0924S 1024S 1124S 1224S 1324S 1424S 1524S<br />
260 0926S 1026S 1126S 1226S 1326S 1426S 1526S<br />
280 0928S 1028S 1128S 1228S 1326S 1426S 1526S<br />
300 0930S 1030S 1130S 1230S 1330S 1430S 1530S<br />
320 0932S 1032S 1132S 1232S 1332S 1432S 1532S<br />
340 0934S 1034S 1134S 1234S 1334S 1434S 1534S<br />
360 0936S 1036S 1136S 1236S 1336S 1436S 1536S<br />
380 0938S 1038S 1138S 1238S 1338S 1438S 1538S<br />
400 0940S 1040S 1140S 1240S 1340S 1440S 1540S<br />
420 0942S 1042S 1142S 1242S 1342S 1442S 1542S<br />
440 0944S 1044S 1144S 1244S 1344S 1444S 1544S<br />
460 0946S 1046S 1146S 1246S 1346S 1446S 1546S<br />
480 0948S 1048S 1148S 1248S 1348S 1448S 1548S<br />
5.0mm Partially Threaded Locking Screws<br />
5.0mm Condyle Screws<br />
+30mm +35mm<br />
Advanced Compression Screw, Femur Condyle Nut<br />
Titanium Diameter<br />
REF mm<br />
1825-0001S 8.0<br />
Example: <strong>T2</strong> Femoral Nail Ø10mm×260mm = 1825-1026S<br />
9<br />
Titanium Diameter Length<br />
REF mm mm<br />
1891-5025S 5.0 25<br />
1891-5030S 5.0 30<br />
1891-5035S 5.0 35<br />
1891-5040S 5.0 40<br />
1891-5045S 5.0 45<br />
1891-5050S 5.0 50<br />
1891-5055S 5.0 55<br />
1891-5060S 5.0 60<br />
1891-5065S 5.0 65<br />
1891-5070S 5.0 70<br />
1891-5075S 5.0 75<br />
1891-5080S 5.0 80<br />
1891-5085S 5.0 85<br />
1891-5090S 5.0 90<br />
1891-5095S 5.0 95<br />
1891-5100S 5.0 100<br />
1891-5105S 5.0 105<br />
1891-5110S 5.0 110<br />
1891-5115S 5.0 115<br />
1891-5120S 5.0 120<br />
Titanium Diameter Length<br />
REF mm mm<br />
1895-5040S 5.0 40<br />
1895-5045S 5.0 45<br />
1895-5050S 5.0 50<br />
1895-5055S 5.0 55<br />
1895-5060S 5.0 60<br />
1895-5065S 5.0 65<br />
1895-5070S 5.0 70<br />
1895-5075S 5.0 75<br />
1895-5080S 5.0 80<br />
1895-5085S 5.0 85<br />
1895-5090S 5.0 90<br />
1895-5095S 5.0 95<br />
1895-5100S 5.0 100<br />
1895-5105S 5.0 105<br />
1895-5110S 5.0 110<br />
1895-5115S 5.0 115<br />
1895-5120S 5.0 120<br />
Titanium Diameter<br />
REF mm<br />
1895-5001S 5.0
Features & Benefits<br />
Recon / Antegrade Femoral Nail<br />
Enhanced Lag Screw Placement<br />
• 6.5mm cannulated Lag Screws<br />
• Insertion over K-Wires<br />
• Improved thread design of<br />
proven Asnis III Screws<br />
• Lag Screw hole geometry allows<br />
placement in narrow femoral necks<br />
Easy Insertion<br />
• 4˚ lateral bend<br />
• 2m radius<br />
• Lateral entry at the tip of the<br />
greater trochanter<br />
• Cannulated design<br />
• Reamed or unreamed insertion<br />
over 3×1000mm Guide Wire<br />
• No Guide Wire exchange<br />
required<br />
Recon Antegrade<br />
10<br />
Reduced Inventory<br />
• ONE nail for recon or antegrade<br />
femoral application<br />
• 5.0mm screws for all antegrade<br />
femoral applications<br />
Precise Placement<br />
• Multiple End Cap lengths<br />
• Easy implant removal<br />
• Set screw tightens down on<br />
proximal Locking Screw and<br />
provides angular stability<br />
Dynamic Locking<br />
• Promotes fracture healing by<br />
allowing micromotion
Ordering Information - Implants<br />
<strong>T2</strong> Recon Nail (REF left 1846-xxxx / right 1847-xxxx)<br />
5.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard +5mm<br />
+10mm +15mm<br />
left right<br />
Titanium Diameter Length<br />
REF mm mm<br />
18 9 6 -5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
18 9 6 -5030S 5.0 30.0<br />
18 9 6 -5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1822-0003S 8.0 Standard<br />
1847-0005S 13.0 + 5mm<br />
1847-0010S 13.0 +10mm<br />
1847-0015S 13.0 +15mm<br />
Length REF REF REF REF<br />
mm Ø9mm Ø11mm Ø13mm Ø15mm<br />
340 0934S 1134S 1334S 1534S<br />
360 0936S 1136S 1336S 1536S<br />
380 0938S 1138S 1338S 1538S<br />
400 0940S 1140S 1340S 1540S<br />
420 0942S 1142S 1342S 1542S<br />
440 0944S 1144S 1344S 1544S<br />
460 0946S 1146S 1346S 1546S<br />
480 0948S 1148S 1348S 1548S<br />
Example: <strong>T2</strong> Recon Nail right Ø9mm×360mm = 1847-0936S<br />
6.5mm Lag Screw<br />
Set Screw<br />
11<br />
Titanium Diameter Length<br />
REF mm mm<br />
1897-6065S 6.5 65<br />
1897-6070S 6.5 70<br />
1897-6075S 6.5 75<br />
1897-6080S 6.5 80<br />
1897-6085S 6.5 85<br />
1897-6090S 6.5 90<br />
1897-6095S 6.5 95<br />
1897-6100S 6.5 100<br />
1897-6105S 6.5 105<br />
1897-6110S 6.5 110<br />
1897-6115S 6.5 115<br />
1897-6120S 6.5 120<br />
1897-6125S 6.5 125<br />
1897-6130S 6.5 130<br />
Titanium Description Length<br />
REF mm<br />
1847-0003S Antegrade 8.0<br />
1847-0001S Retrograde 8.0
Features & Benefits<br />
Supracondylar Nail<br />
Reduced OR Time<br />
• Guided locking of all screws for<br />
170mm and 200mm implants<br />
Stable Fixation<br />
• Three-plane fixation with four<br />
screws within 32mm of the nail end<br />
• Most distal hole is centered at 6mm<br />
to the nail end<br />
• 5.0mm cannulated Condyle Screws<br />
• Insertion over K-Wires<br />
• Polyaxial Washers<br />
• Up to 7mm of mediolateral<br />
interfragmentary compression<br />
• End Cap tightens down on most<br />
distal Locking Screw/Condyle Screw<br />
and provides angular Stability<br />
Short Long<br />
12<br />
Dynamic Locking<br />
• Promotes fracture healing by<br />
allowing micromotion<br />
Easy Insertion<br />
• 4˚ bend<br />
• 2m radius<br />
• Cannulated design<br />
• Reamed or unreamed insertion<br />
over 3×1000mm Guide Wire<br />
• No Guide Wire exchange<br />
required
Ordering Information - Implants<br />
<strong>T2</strong> SCN (REF 1826-xxxx)<br />
short<br />
long<br />
5.0mm Fully Threaded Locking Screws<br />
End Cap<br />
Titanium Diameter Length<br />
REF mm mm<br />
18 9 6 -5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
18 9 6 -5030S 5.0 30.0<br />
18 9 6 -5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter<br />
REF mm<br />
1826-0003S 8.0<br />
Length REF REF REF REF REF REF<br />
mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm<br />
170 (short) 0917S 1017S 1117S 1217S 1317S 1417S<br />
200 (short) 0920S 1020S 1120S 1220S 1320S 1420S<br />
240 (long) 0924S 1024S 1124S 1224S 1324S 1424S<br />
260 (long) 0926S 1026S 1126S 1226S 1326S 1426S<br />
280 (long) 0928S 1028S 1128S 1228S 1328S 1428S<br />
300 (long) 0930S 1030S 1130S 1230S 1330S 1430S<br />
320 (long) 0932S 1032S 1132S 1232S 1332S 1432S<br />
340 (long) 0934S 1034S 1134S 1234S 1334S 1434S<br />
360 (long) 0936S 1036S 1136S 1236S 1336S 1436S<br />
380 (long) 0938S 1038S 1138S 1238S 1338S 1438S<br />
400 (long) 0940S 1040S 1140S 1240S 1340S 1440S<br />
420 (long) 0942S 1042S 1142S 1242S 1342S 1442S<br />
440 (long) 0944S 1044S 1144S 1244S 1344S 1444S<br />
Example: <strong>T2</strong> SCN Nail Ø9mm×420mm = 1826-0942S<br />
5.0mm Condyle Screws<br />
Condyle Nut<br />
13<br />
Titanium Diameter Length<br />
REF mm mm<br />
1895-5040S 5.0 40<br />
1895-5045S 5.0 45<br />
1895-5050S 5.0 50<br />
1895-5055S 5.0 55<br />
1895-5060S 5.0 60<br />
1895-5065S 5.0 65<br />
1895-5070S 5.0 70<br />
1895-5075S 5.0 75<br />
1895-5080S 5.0 80<br />
1895-5085S 5.0 85<br />
1895-5090S 5.0 90<br />
1895-5095S 5.0 95<br />
1895-5100S 5.0 100<br />
1895-5105S 5.0 105<br />
1895-5110S 5.0 110<br />
1895-5115S 5.0 115<br />
1895-5120S 5.0 120<br />
Titanium Diameter<br />
REF mm<br />
1895-5001S 5.0
Features & Benefits<br />
Knee Arthrodesis Nail<br />
Design Rationale<br />
Unique dual curvature:<br />
• Enables anatomical valgus at the knee<br />
• Improves nail insertion<br />
Easy Insertion<br />
• Cannulated design<br />
• Dedicated 885mm Bixcut Reamer Shaft<br />
• Reamed insertion over 3×1250mm Guide<br />
Wire<br />
• No Guide Wire exchange required<br />
14<br />
Reduced Learning Curve<br />
• Uses standard <strong>T2</strong> femur<br />
instrumentation<br />
• 5.0mm screws only<br />
(same as <strong>T2</strong> femur)<br />
• Multiple End Caps provide optimal<br />
length adjustment<br />
(same as <strong>T2</strong> Femur)<br />
Less Pain Potential *<br />
• Up to 10mm of active compression<br />
• Early weight bearing<br />
• Promotes consolidation<br />
* Thomas Mueckley, Oliver Gonschorek, Volker<br />
Buehren “Compression Nailing of Long Bones”<br />
Eur J Trauma 2003; 29:113–28
Ordering Information - Implants<br />
<strong>T2</strong> Arthrodesis Nail (REF 1829-xxxx)<br />
left right<br />
Length REF REF REF REF<br />
mm Ø11.5mm/left Ø11.5mm/right Ø13mm/left Ø13mm/right<br />
540 1104S 1154S 1304S 1354S<br />
580 1108S 1158S 1308S 1358S<br />
620 1112S 1162S 1312S 1362S<br />
640 1116S 1166S 1316S 1366S<br />
700 1120S 1170S 1320S 1370S<br />
740 1124S 1174S 1324S 1374S<br />
780 1128S 1178S 1328S 1378S<br />
Example: <strong>T2</strong> Arthrodesis Nail left Ø13mm×780mm = 1829-1328S<br />
5.0mm Fully Threaded Locking Screws 5.0mm Partially Threaded Locking Screws<br />
End Caps<br />
Standard +5mm +10mm<br />
+15mm +20mm +25mm<br />
+30mm +35mm<br />
Titanium Diameter Length<br />
REF mm mm<br />
18 9 6 -5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
18 9 6 -5030S 5.0 30.0<br />
18 9 6 -5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1822-0003S 8.0 Standard<br />
1822-0005S 11.5 + 5<br />
1822-0010S 11.5 +10<br />
1822-0015S 11.5 +15<br />
1822-0020S 11.5 +20<br />
1822-0025S 11.5 +25<br />
1822-0030S 11.5 +30<br />
1822-0035S 11.5 +35<br />
Compression Screws<br />
15<br />
Titanium Diameter Length<br />
REF mm mm<br />
1891-5025S 5.0 25<br />
1891-5030S 5.0 30<br />
1891-5035S 5.0 35<br />
1891-5040S 5.0 40<br />
1891-5045S 5.0 45<br />
1891-5050S 5.0 50<br />
1891-5055S 5.0 55<br />
1891-5060S 5.0 60<br />
1891-5065S 5.0 65<br />
1891-5070S 5.0 70<br />
1891-5075S 5.0 75<br />
1891-5080S 5.0 80<br />
1891-5085S 5.0 85<br />
1891-5090S 5.0 90<br />
1891-5095S 5.0 95<br />
1891-5100S 5.0 100<br />
1891-5105S 5.0 105<br />
1891-5110S 5.0 110<br />
1891-5115S 5.0 115<br />
1891-5120S 5.0 120<br />
Titanium Diameter Length<br />
REF mm mm<br />
1825-0000S 8.0 Standard<br />
18 2 5 - 0005S 8.0 5<br />
18 2 5 - 0010S 8.0 10<br />
18 2 5 - 0015S 8.0 15
Features & Benefits<br />
Tibial Nail<br />
16<br />
Precise Placement<br />
• Multiple End Cap lengths<br />
• Easy implant removal<br />
Stable Fixation<br />
• Multiplane fixation<br />
• 5.0mm screws for all 9−15mm nails**<br />
Less Pain Potential *<br />
• Up to 7mm of active compression<br />
• Early weight bearing<br />
• Promotes fracture healing of nonunions<br />
Easy Insertion<br />
• 10˚ proximal Herzog bend<br />
• 4˚ distal bend<br />
• Cannulated design<br />
• Reamed or unreamed insertion over<br />
3×800mm Guide Wire<br />
• No Guide Wire exchange required<br />
for all 9−15mm nails<br />
Extremely Distal Locking Holes<br />
• Two-Plane fixation with three<br />
screws within 25mm of the nail end<br />
• Most distal hole is centered at 5mm<br />
from the nail end<br />
• At the time of this printing, the <strong>T2</strong><br />
tibial nail has the longest working<br />
length of any competitive tibial nail<br />
available<br />
* Thomas Mueckley, Oliver Gonschorek, Volker<br />
Buehren “Compression Nailing of Long Bones” Eur<br />
J Trauma 2003; 29:113–28<br />
** 8mm Tibial Nail uses 4.0mm Screws for Distal<br />
Locking
Ordering Information - Implants**<br />
<strong>T2</strong> Standard Tibial Nail (REF 1822-xxxx)<br />
5.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard +5mm<br />
+10mm +15mm<br />
Titanium Diameter Length<br />
REF mm mm<br />
18 9 6 -5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
18 9 6 -5030S 5.0 30.0<br />
18 9 6 -5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1822-0003S 8.0 Standard<br />
1822-0005S 11.5 + 5<br />
1822-0010S 11.5 +10<br />
1822-0015S 11.5 +15<br />
Advanced Compression Screw, Tibia<br />
Titanium Diameter<br />
REF mm<br />
1822-0001S 8.0<br />
Length REF REF REF REF REF REF REF<br />
mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm Ø15mm<br />
240 0924S 1024S 1124S 1224S 1324S 1424S 1524S<br />
255 0925S 1025S 1125S 1225S 1325S 1425S 1525S<br />
270 0927S 1027S 1127S 1227S 1327S 1427S 1527S<br />
285 0928S 1028S 1128S 1228S 1328S 1428S 1528S<br />
300 0930S 1030S 1130S 1230S 1330S 1430S 1530S<br />
315 0931S 1031S 1131S 1231S 1331S 1431S 1531S<br />
330 0933S 1033S 1133S 1233S 1333S 1433S 1533S<br />
345 0934S 1034S 1134S 1234S 1334S 1434S 1534S<br />
360 0936S 1036S 1136S 1236S 1336S 1436S 1536S<br />
375 0937S 1037S 1137S 1237S 1337S 1437S 1537S<br />
390 0939S 1039S 1139S 1239S 1339S 1439S 1539S<br />
405 0940S 1040S 1140S 1240S 1340S 1440S 1540S<br />
420 0942S 1042S 1142S 1242S 1342S 1442S 1542S<br />
Example: <strong>T2</strong> Tibial Nail Ø10mm×300mm = 1822-1030S<br />
5.0mm Partially Threaded Locking Screws<br />
4.0mm Fully Threaded Locking Screws*<br />
17<br />
Titanium Diameter Length<br />
REF mm mm<br />
1891-5025S 5.0 25<br />
1891-5030S 5.0 30<br />
1891-5035S 5.0 35<br />
1891-5040S 5.0 40<br />
1891-5045S 5.0 45<br />
1891-5050S 5.0 50<br />
1891-5055S 5.0 55<br />
1891-5060S 5.0 60<br />
1891-5065S 5.0 65<br />
1891-5070S 5.0 70<br />
1891-5075S 5.0 75<br />
1891-5080S 5.0 80<br />
1891-5085S 5.0 85<br />
1891-5090S 5.0 90<br />
1891-5095S 5.0 95<br />
1891-5100S 5.0 100<br />
1891-5105S 5.0 105<br />
1891-5110S 5.0 110<br />
1891-5115S 5.0 115<br />
1891-5120S 5.0 120<br />
Titanium Diameter Length<br />
REF mm mm<br />
1896-4020S 4.0 20.0<br />
1896-4025S 4.0 25.0<br />
1896-4030S 4.0 30.0<br />
1896-4035S 4.0 35.0<br />
1896-4040S 4.0 40.0<br />
1896-4045S 4.0 45.0<br />
1896-4050S 4.0 50.0<br />
1896-4055S 4.0 55.0<br />
1896-4060S 4.0 60.0<br />
* For Ø8mm Nail Distal Locking Only<br />
** For detailed Ordering Information please refer to<br />
the dedicated Operative Technique.
Features & Benefits<br />
Ankle Arthrodesis Nail<br />
Easy Insertion<br />
• Cannulated Design<br />
• Unreamed or Reamed Insertion<br />
over 3×1000mm Guide Wire<br />
• No Guide Wire exchange required<br />
Anatomical Fit<br />
• 5° lateral (valgus) bend<br />
• Partially threaded Locking Screw<br />
• Up to 5 mm active compression<br />
Controlled Apposition/<br />
Compression<br />
• L/M Direction<br />
• Partially threaded Locking Screw<br />
• Up to 5mm active compression<br />
• Cannulated Compression Screw for<br />
direct insertion over the Guide Wire<br />
or in “preloaded” manner<br />
Stable Fixation<br />
• M/L direction<br />
• Fixed angle threaded<br />
Aiming Adapter<br />
An additional Aiming Adapter can<br />
be attached to the Targeting Device<br />
to help achieve the appropriate<br />
rotation based on the position of the<br />
PA Calcaneal Screw aligned with the<br />
Anatomic Calcaneal body axis.<br />
18<br />
Proximal Locking Options<br />
• Target device guided<br />
• M/L direction<br />
• Proximal locking configuration<br />
features a round and an oblong hole<br />
to allow for static or dynamic locking<br />
Multiple End Caps<br />
End Caps are available in different<br />
sizes to provide improved fit for every<br />
indication and to lock down on the PA<br />
Calacneus Screw. This creates a fixed<br />
angle between the nail and Locking<br />
Screw.<br />
• Driving end 7.5mm<br />
• End Cap locks P/A Calcaneus<br />
Locking Screw<br />
Anatomical Fit<br />
Distal Locking Screw in P/A direction<br />
with a proximal one in a 10° angle<br />
from postero-medial to anterolateral.<br />
This design dictates the need<br />
for left and right nails but allows<br />
for anatomical fit with internal<br />
compression. This technique is<br />
preferred because of higher union<br />
rates, shorter fusion times, and fewer<br />
complications.<br />
anterior<br />
10°<br />
lateral medial<br />
View from distal
Ordering Information - Implants<br />
<strong>T2</strong> Standard Ankle Arthrodesis Nail<br />
5.0mm Fully Threaded Locking Screws<br />
End Caps<br />
Standard +5mm<br />
+10mm +15mm<br />
Left<br />
REF Diameter Length<br />
mm mm<br />
1818-1015S 10 150<br />
1818-1020S 10 200<br />
1818-1030S 10 300<br />
1818-1115S 11 150<br />
1818-1120S 11 200<br />
1818-1130S 11 300<br />
1818-1215S 12 150<br />
1818-1220S 12 200<br />
1818-1230S 12 300<br />
Titanium Diameter Length<br />
REF mm mm<br />
18 9 6 -5025S 5.0 25.0<br />
1896-5027S 5.0 27.5<br />
18 9 6 -5030S 5.0 30.0<br />
18 9 6 -5032S 5.0 32.5<br />
18 9 6 -5035S 5.0 35.0<br />
18 9 6 -5037S 5.0 37.5<br />
18 9 6 -5040S 5.0 40.0<br />
18 9 6 -5042S 5.0 42.5<br />
18 9 6 -5045S 5.0 45.0<br />
18 9 6 -5047S 5.0 47.5<br />
18 9 6 -5050S 5.0 50.0<br />
18 9 6 -5052S 5.0 52.5<br />
18 9 6 -5055S 5.0 55.0<br />
18 9 6 -5057S 5.0 57.5<br />
18 9 6 -5060S 5.0 60.0<br />
1896-5065S 5.0 65.0<br />
1896-5070S 5.0 70.0<br />
1896-5075S 5.0 75.0<br />
1896-5080S 5.0 80.0<br />
1896-5085S 5.0 85.0<br />
1896-5090S 5.0 90.0<br />
1896-5095S 5.0 95.0<br />
1896-5100S 5.0 100.0<br />
1896-5105S 5.0 105.0<br />
1896-5110S 5.0 110.0<br />
1896-5115S 5.0 115.0<br />
1896-5120S 5.0 120.0<br />
Titanium Diameter Length<br />
REF mm mm<br />
1826-0003S 8.0 4.0<br />
1818-0005S 12.0 + 5<br />
1818-0010S 12.0 +10<br />
1818-0015S 12.0 +15<br />
19<br />
Right<br />
REF Diameter Length<br />
mm mm<br />
1819-1015S 10 150<br />
1819-1020S 10 200<br />
1819-1030S 10 300<br />
1819-1115S 11 150<br />
1819-1120S 11 200<br />
1819-1130S 11 300<br />
1819-1215S 12 150<br />
1819-1220S 12 200<br />
1819-1230S 12 300<br />
5.0mm Partially Threaded Locking Screws<br />
Titanium Diameter Length<br />
REF mm mm<br />
1891-5025S 5.0 25<br />
1891-5030S 5.0 30<br />
1891-5035S 5.0 35<br />
1891-5040S 5.0 40<br />
1891-5045S 5.0 45<br />
1891-5050S 5.0 50<br />
1891-5055S 5.0 55<br />
1891-5060S 5.0 60<br />
1891-5065S 5.0 65<br />
1891-5070S 5.0 70<br />
1891-5075S 5.0 75<br />
1891-5080S 5.0 80<br />
1891-5085S 5.0 85<br />
1891-5090S 5.0 90<br />
1891-5095S 5.0 95<br />
1891-5100S 5.0 100<br />
1891-5105S 5.0 105<br />
1891-5110S 5.0 110<br />
1891-5115S 5.0 115<br />
1891-5120S 5.0 120<br />
Compression Screw (cannulated)<br />
Titanium Diameter Length<br />
REF mm mm<br />
1818-0001S 8.0 14.5
<strong>Stryker</strong> Navigation<br />
Trauma Navigation System<br />
The Trauma Navigation System is<br />
a generic tool box that generally<br />
supports all kind of trauma<br />
surgery applications. The following<br />
applications benefit most from<br />
navigation and are fully supported by<br />
the system:<br />
• Nailing (entry point,<br />
reposition, distal targeting)<br />
• Lag Screw positioning -<br />
Gamma Nail<br />
• Screw placement for Pelvis,<br />
Hip, Femur and Tibia fractures<br />
Key Features Key Benefits<br />
Accurate Fluoroscopy Based Navigation<br />
Smart Navigation Technology<br />
(Active and Wireless)<br />
Widely Compatible Dedicated Trauma<br />
Instruments with Easy Calibration<br />
Clear and Intuitive Software<br />
User Interface<br />
Virtual C-Arm Guidance<br />
Drop In Screw Planning Capability and Distance/<br />
Angle Measurements<br />
Compatible with Other <strong>Stryker</strong> Navigation<br />
Systems (Spine, Knee, Hip, ENT, Neuro)<br />
The generic software, the universal<br />
patient anchoring system and the<br />
universal set of dedicated instruments<br />
cover also many further trauma<br />
applications. Generally all steps<br />
described in the available Navigation<br />
Surgery Technique for the selected<br />
applications apply to further<br />
applications in a similar way.<br />
The dedicated instruments are widely<br />
compatible and represent an open<br />
platform for different implant systems,<br />
although <strong>Stryker</strong> Implant Systems are<br />
best supported.<br />
20<br />
Accurate Implant Positioning,<br />
Significant Reduction of Radiation Exposure<br />
Provides an Unrestrained Field<br />
Simplicity to Surgeon and Staff<br />
Simplicity to Surgeon and Staff<br />
Reduction of Radiation Exposure when Targeting<br />
Field of View<br />
Intra-Operative Intervention Planning and<br />
Documentation
<strong>Stryker</strong> Navigation<br />
System Components<br />
Anchoring System 1<br />
Smart Tools 2<br />
Tool Tracker/ Patient Tracker Point Calibration Device Pointer<br />
Fluoroscopy Tracker (C-Arm Adapter)<br />
System Platform 2<br />
Anchoring Pins<br />
Trauma Instruments 3<br />
Navigated Curved Awl<br />
Localizer Camera<br />
Navigated Guide Sleeves<br />
Navigated Screwdrivers Tool Axis Adapter<br />
1 Selzach Trauma AG Selzach<br />
2 <strong>Stryker</strong> Instruments - Navigation<br />
3 <strong>Stryker</strong> Trauma GmbH Kiel<br />
Insertion Tool<br />
Hoffmann Couplings 3–4/5mm and 5/5mm<br />
21<br />
Universal Tracker Adapter Pin<br />
Nail Target Device Adapters<br />
Laptop Stand<br />
Navigated Lag Screw Sleeve<br />
Gamma and Gamma3<br />
Chuck Axis Adapter for<br />
<strong>Stryker</strong> Powertools
This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own<br />
professional clinical judgment when deciding whether to use a particular product when treating a particular patient.<br />
<strong>Stryker</strong> does not dispense medical advice and recommends that surgeons be trained in the use of any particular product<br />
before using it in surgery. The information presented in this brochure is intended to demonstrate a <strong>Stryker</strong> product.<br />
Always refer to the package insert, product label and/or user instructions including the instructions for Cleaning and<br />
Sterilization (if applicable) before using any <strong>Stryker</strong> products. Products may not be available in all markets. Product<br />
availability is subject to the regulatory or medical practices that govern individual markets. Please contact your <strong>Stryker</strong><br />
representative if you have questions about the availability of <strong>Stryker</strong> products in your area.<br />
<strong>Stryker</strong> Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following<br />
trademarks or service marks: <strong>Stryker</strong>, Bixcut, <strong>T2</strong>, Hoffmanns and Asnis III.<br />
All other trademarks are trademarks of their respective owners or holders.<br />
The products listed above are CE marked.<br />
Literature Number : B1000007<br />
LOT D0809<br />
Copyright © 2009 <strong>Stryker</strong><br />
<strong>Stryker</strong> Trauma GmbH<br />
Prof.-Küntscher-Straße 1−5<br />
D - 24232 Schönkirchen<br />
Germany<br />
www.osteosynthesis.stryker.com