The TRIGEN™ INTERTAN nail was designed as a trochanteric portal intramedullary nail especially shaped for fractures of the proximal femur. The. INTERTAN. Objectives. To compare the long-term functional and radiographic outcomes of the proximal femoral nail antirotation-Asia (PFNA-II) and. The goal of this study was to compare the outcomes of unstable trochanteric fractures treated with the InterTan nail (Smith & Nephew, Memphis, Tennessee) and.
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Thirdly, heterogeneity between the included literatures may affect the results of our meta-analysis. When the quality score was greater than five points, the included studies were considered to be of high quality J Orthop Trauma ; Supplementary information accompanies this paper at Surgery time We extracted the data of surgery time from nine articles.
Each evaluation was performed by a radiologist with no knowledge of the treatment or subjective or clinical outcomes of the patients.
How is INTERTAN different?
Some surgeons feel that the longer 20cm nail provides enhanced interference fit within the femoral diaphysis thus preventing fracture rotation about the nail. A consensus was reached through discussion, once disagreement was existed between authors. Random-effect model was used to explain the statistical heterogeneity. A prospective cohort study have clearly shown that the IT is comparable to the Gamma 3 nail system in terms of HHS, time to union and implant-related complication rate for unstable intertrochanteric fractures Sci World J ; International journal of clinical and experimental medicine.
Complications were reported in all the included nine studies.
This intertab medial migration and the Z-effect nearly impossible. The benefits of the TRIGEN INTERTAN system — lower risk of implant failure and non-union, reduced postoperative pain, faster time to fracture union, and a proven high return to pre-fracture status — can help you achieve better outcomes more efficiently.
Product Information There are several challenges with conventional hip fracture implants: Abstract Intertrochanteric fractures are common injuries in the elderly.
The pooled data showed that IT as effective for postoperative functional recovery and pain relieve in patients with intertrochanteric fractures as 1-screw nailing system. Int Orthop ; Conclusions IT is not found hail be superior to 1-scew nailing system in terms of HHS, blood loss, fluoroscopy time, union time, total postoperative complications and length of hospital stay.
Genet Mol Res ; Conventional intramedullary nails including gamma 3 locking nail and proximal femoral nail antirotation PFNA were designed for unstable intertrochanteric fractures 5. This is important in the proximal femur where maintenance of correct femoral neck anteversion during lag screw placement is essential to the prevention of implant cut out.
Mechanical testing of the two screw construct was stopped atcycles with no evidence of implant cut out, further reinforcing the INTERTAN nail philosophy. Functional outcomes Functional outcome scores were obtained for all patients.
Published online Jun 6. Trends in the management of intertrochanteric femur fractures in the United States — Acta Orthopaedica ; 85 1: HHS was usually used to evaluate the results of hip surgery.
Faster time to fracture union 9,11,12,13,19,23,24,25,26,27,28, I have been using a single screw IM device for the last 20 years and have yet to have one cut out.
TRIGEN INTERTAN Nail | Smith & Nephew
The integrated interlocking screws of the INTERTAN system increase stability and resistance to both intra and post-operative fracture rotation about the implant by providing two points of fixation within the femoral neck and head. Significant differences were found in IT vs.
A study in Asian population. Both implants have a intsrtan profile, but the clothespin distal tip closes slightly as it encounters the AP bow in the femur in order to reduce point stresses about the nail tip.
Burge R, et al. Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur: Furthermore, as we have previously reported, there are few significant differences in these parameters between the IT and PFNA-II after short-term follow-up. Education and Evidence website. We used funnel plot to evaluated reporting biases qualitatively.
Typically, the superior screw is of smaller diameter than the inferior and bears a disproportionate amount of load during weight bearing. For additional questions, please contact your local sales representative. In our meta-analysis, we failed to find any significant differences between the two groups in HHS between two groups.
Do PFNA devices and Intertan nails both have the same effects in the treatment of trochanteric fractures? Nonunion was defined as the lack of union after 6 months of follow-up.
The interan functional outcomes were evaluated based on the Harris hip score HHS. A random-effects model was used to evaluate these outcomes. Both nails have a tendency to provide rotational and angular stability, decrease the risks of various complications, increase the primary healing rate, and nitertan to rapid functional recovery in the management of stable or unstable IFFs.
There was statistical heterogeneity between included studies, and we used random-effects model to explore the heterogeneity. Watch video of head rotations with a conventional single lag screw device The INTERTAN nail solves that problem by integrating two screws so that they function as one unit to prevent rotation and excessive screw migration. Our designing surgeons feel that rotational instability is a major contributing factor to that failure rate and propose the INTERTAN nail as the solution to this dilemma.
Changes in functional status attributable to hip fracture: The Treatment of Intertrochanteric Fractures: