Trauma Upper Extremities

Trauma Lower Extremities

Procedure

The Femoral Nail System is used for intramedullary fixation for fractures of the femur. The system contains unique screw configurations for both antegrade and retrograde nailing. This combination of versatility and diversity offers surgeons comprehensive solutions for managing femoral fractures.
 
Antegrade Nail Features:
<ul>
 <li>Used for trochanteric entry, it can target up to 3 proximal screw holes at the same time</li>
 <li>Threaded proximal screw holes help prevent screw back-out</li>
 <li>Provides up to 8 mm of compression at the level of the oblong hole1 
</li>
</ul>
Retrograde Nail Features:
<ul>
 <li>Four threaded distal screw holes help prevent screw back-out</li>
 <li>Provides up to 7 mm of compression at the level of the oblong hole1</li>
 <li>Screws targeted into the posterior condyles provide additional fixation</li>
 <li>Threaded nut and washer system provides compression across an intra-articular break 
</li>
</ul>
Reference
1. Test report T303. In vitro testing of AOS antegrade femoral nail. Advanced Orthopaedic Solutions; April 2013.

Antegrade Femoral Nail System

Human

Child (D)

The Femoral Nail System is used for intramedullary fixation for fractures of the femur. The system contains unique screw configurations for both antegrade and retrograde nailing. This combination of versatility and diversity offers surgeons comprehensive solutions for managing femoral fractures.
 
Antegrade Nail Features:
<ul>
 <li>Used for trochanteric entry, it can target up to 3 proximal screw holes at the same time</li>
 <li>Threaded proximal screw holes help prevent screw backout</li>
 <li>Provides up to 8 mm of compression at the level of the oblong hole1</li>
</ul>
 
Retrograde Nail Features:
<ul>
 <li>Four threaded distal screw holes help prevent screw backout</li>
 <li>Provides up to 7 mm of compression at the level of the oblong hole1</li>
 <li>Screws targeted into the posterior condyles provide additional fixation</li>
 <li>Threaded nut and washer system provides compression across an intra-articular break</li>
</ul>
 
Reference
1. Test report T303. In vitro testing of AOS antegrade femoral nail. Advanced Orthopaedic Solutions; April 2013.

Retrograde Femoral Nail System

The Arthrex trochanteric nail is a next-generation hip nail that addresses the remaining shortcomings of current systems and consists of three nail types—short nail, long nail, and the innovative ES nail.
Telescoping Lag Screw—Self-contained collapse within the lag screw prevents lateral lag screw irritation.
ES Nail Option—Combines the mechanical advantages of a long nail with the ease of a short nail. It extends through the isthmus of the bone, which can reduce distal-tip stress risers, potential “pendulum” effects, and risks of periprosthetic fractures associated with short nails.1 The ES hole is easily targeted through the nail jig.
Biological Augmentation—Allows for the delivery of orthobiologics (BoneSync™ cement, autologous blood products, AlloSync Pure™, etc) through the lag screw instrumentation, prior to final screw seating.
Advanced Instrumentation—Designed to reduce surgical pain points and facilitate surgical workflow.
<ul>
 <li>Lag-screw locking through the inserter (no set screw required)</li>
 <li>Captured distal 5.0 mm screws</li>
 <li>Calibrated drill bits</li>
 <li>Jig removal through the more lateral impactor attachment hole</li>
</ul>
Reference:
1. Wright RC, Yacoubian SV, Salzman GA, Raven RB 3rd, Falkinstein Y, Yacoubian SV. The extended-short nail system, a novel concept in the management of proximal femur fractures. Am J Orthop (Belle Mead NJ). 2011;40(12):630-635.

Hip Fracture

Antegrade Femoral Nail System

Retrograde Femoral Nail System

Trochanteric Nail System