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South Africa, 9 th -24th th May, 2009. PowerPoint PPT Presentation


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South Africa, 9 th -24th th May, 2009. The VeroNail System. Product Indications. Product Indications. Additional Indications. Go Long!. Fundamental Principles. Closed fracture reduction Minimally Invasive Rotational Stability Prevention of Collapse Biomechanical Strength.

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South Africa, 9 th -24th th May, 2009.

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South Africa,

9th-24thth May,

2009.


The VeroNail System


Product Indications


Product Indications


Additional Indications

  • Go Long!


Fundamental Principles

  • Closed fracture reduction

  • Minimally Invasive

  • Rotational Stability

  • Prevention of Collapse

  • Biomechanical Strength


Closed Reduction

  • PORD Device for correction of Posterior Sagging


Closed Reduction

  • 128º A/P


Minimally Invasive

  • Trochanteric Entry

    • Medial/Lateral Bend


Minimally Invasive

  • Minimized diameter of nail

    • Proximal

    • Distal

  • What does minimized diameter provide?


IMHS CP by Smith & Nephew

Rotational Stability

  • Operative


Smith & Nephew InterTAN

Stryker

Gamma Nail

Depuy

ATN

Rotational Stability

  • Post Operative

    • Double Axis Fixation vs. Single

    • Double Axis vs Double Close

    • Double Axis vs Double different Diameter

VeroNail


Prevention of Collapse


Fundamental Principles Summary

  • Closed fracture reduction

  • Minimally invasive

  • Rotational stability of the femoral head

  • Prevention of collapse

  • Biomechanical strength


Hip Fracture Treatment Goals

  • Quick to Rehab

  • Return to Pre Fracture Situation

    Ambulation!


Additional Features and Benefits


Long


Sliding Cephalic Screw

  • Self Drilling/Self Tapping Tip Design

  • Non Cannulated

  • XCaliber Thread Design


Convergent (Fixed) Cephalic Screw

  • Self Drilling/Self Tapping Tip Design

  • Non Cannulated

  • XCaliber Thread Design


Only loose particles of drill debris

„Interdentating effect“


Conclusions

1. Fine machine thread is well

suited for cancellous bone

2. Predrilling of a screw hole

in cancellous bone leads

to reduction of

the holding power


Distal Locking Screw

  • Pegged locking screw design

  • Threaded for near cortex

  • Head of screw has outer thread for ease of extraction (Do not bury head of Locking Screw)


Tak !Ta fur noo!( Scots for above)


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