FLEXIBLE CHILDREN NAIL emergency team for broken bones®

Preface Over the last years, the elastic, yet stable medullary fixation of shaft fractures in children has become standard when treating diaphyseal fractures. Paediatric nails have been modified to match conditions in children and are now available in different lengths and diameters. Features Implant: • lastic, yet stable fracture fixation E • mall skin incision S - Implant insertion at a site distant to the fracture (closed procedure) - Fracture haematoma is left untouched (healing) • imple technique S • arly weight-bearing E • hort hospital stay S • hild-friendly C • istal lock for increased...

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• deal in cases of easily stabilisable I fractures such as transverse or short oblique fractures of the medial diaphyseal area. • lso suitable for borderline A indications in difficultly stabilisable fractures, long oblique fractures, rotation or fragmented fractures, at least of the upper extremity. • athologically benign fractures P (e.g. juvenile bone cysts) • athological fractures without P identification of the malignant/ benign character, particularly in cases of malignant tumours • nfections I FLEXIBLE CHILDREN NAIL emergency team for broken bones® Biomechanics The principle of the paediatric...

Instruments The instruments are used to introduce the nails of different lengths (13 - 40 cm) and diameters (2.0 mm, 2.5 mm, 3.0 mm, 3.5 mm, and 4.0 mm) into the medullary cavity. FLEXIBLE CHILDREN NAIL The instruments provide easy handling, comply with needs of shaft fracture treatment in children, and thus allow for rapid and profound repair.

Presurgical The patient is positioned with the leg isolated and covered with drapes (or on an extension table) using at least one X-ray image converter in order to display both planes simultaneously. Identification of the nail length is either performed using the X-ray image under consideration of magnification or intraoperatively directly aligned with the extremity. The nail will be pre-curved with the maximum curvature at the fracture level. FLEXIBLE CHILDREN NAIL emergency team for broken bones® Surgical Technique After skin incision, soft tissue is bluntly separated and then the drilling...

Postoperative Mobilisation with forearm crutches, while increasing weight-bearing (depending on pain). FLEXIBLE CHILDREN NAIL Removal After 6-9 months (depending on age and fracture), the material is removed using appropriate removal instruments. Retraction hook

FLEXIBLE CHILDREN NAIL emergency team for broken bones® Summary The elastic stable feather nail is the ideal paediatric medullary nail when repairing shaft fractures in growing bones. Due to implant insertion at a distant site, the fracture can be stabilised without impairment of the periosteum or of the fracture haematoma. The 3-point support offers sufficient stability. The optional distal lock prevents any migration of the nails, particularly in fractures of the lower extremity. Moreover, locking provides increased stability. The implant offers ideal properties to perform child-oriented fracture...

Case studies Thigh *Reference: Tscherne Unfallchirurgie/Unfallchirurgie im Kindesalter. © Springer Verlag. FLEXIBLE CHILDREN NAIL

Implants & Instruments FLEXIBLE CHILDREN NAIL emergency team for broken bones® Children‘s Nail, D=3.0mm, L=210mm, with loop Children‘s Nail, D=3.0mm, L=220mm, with loop Children‘s Nail, D=3.0mm, L=230mm, with loop Children‘s Nail, D=3.0mm, L=240mm, with loop Children‘s Nail, D=3.0mm, L=250mm, with loop Children‘s Nail, D=3.0mm, L=260mm, with loop Children‘s Nail, D=3.0mm, L=270mm, with loop Children‘s Nail, D=3.0mm, L=280mm, with loop Children‘s Nail, D=3.5mm, L=270mm, with loop Children‘s Nail, D=3.5mm, L=280mm, with loop Children‘s Nail, D=3.5mm, L=290mm, with loop Children‘s Nail, D=3.5mm,...

FLEXIBLE CHILDREN NAIL

Implants & Instruments FLEXIBLE CHILDREN NAIL emergency team for broken bones® Cortical Screw, D=3.4mm, L=50mm Cortical Screw, D=3.4mm, L=52mm Impactor, Children‘s Nail Extraction Instrument Impaction, Extraction Instrument Sterilization Tray, Children‘s Nail, Implants Sterilization Tray, Children‘s Nail, Instruments Intubation Instrument

FLEXIBLE CHILDREN NAIL

Sterilization Guidelines The following remarks should serve as a guideline in the sterilization of medical products. IMPORTANT INDICATIONS FOR DOCTORS AND OPERATING THEATRE PERSONNEL This instruction leaflet refers to all supplied nonsterile implants and all reusable instruments from I.T.S. GmbH. Detailed information for the identification of the product (such as system classification, cat. no.) can be found in the product identification code and/ or on the package label. Make sure that you are familiar with the possibilities of application, combinability and correct handling of the product....

Sterilization Guidelines Disinfection Equipment: Commercially available disinfectants authorized for use with medical products e.g.. MEDICLEAN FORTE) can be used (but only according to the instructions of the disinfectant producer). In the case of automatic cleaning, a final rinse cycle at 90 °C for 5 minutes can be finally carried out to provide thermal disinfection. Drying Drying as part of the cleaning/ disinfection cycle should not exceed 110 °C. Checking, Maintenance and Inspection • Each instrument or implant is to be inspected carefully to make sure that all visible dirt has been removed....

I.T.S. GmbH part of the MED-HOLD GROUP Autal 28, 8301 Lassnitzhöhe Austria Tel.: +43 | 316 | 211 21 0 Fax: +43 | 316 | 211 21 20 [email protected] www.its-implant.com Order No. FCN-OP-0111-E Edition: January/2011 © I.T.S. GmbH Graz/Austria 2011. Subject to technical alterations, errors and misprints excepted.