TRIGEN™ INTERTAN
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Catalog excerpts

TRIGEN™ INTERTAN - 1

The evidence is in… Enhanced Outcomes from Enhanced Stability Supporting healthcare professionals risk of implant failure and non-union Reduced postoperative pain time to fracture union high return to pre-fracture status

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TRIGEN™ INTERTAN - 2

How satisfied are you with current hip fracture outcomes? Around 1 in 4 hip fracture patients over the age of 65 die within 12 months¹ Around 6.6% will require reoperation due to complications² decline in daily living activities³ live with reduced ability to walk following fracture union1 decline in self-reported health³ decline in fine motor skills³ Your patients can enjoy life after a hip fracture The evidence is in! Based on data from more than two-dozen published studies, the TRIGEN™ INTERTAN™ Intertrochanteric Antegrade Nail allows patients to experience: risk of implant failure and...

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TRIGEN™ INTERTAN - 3

Here’s how it works “Success rate of the operation partly depends on factors that the surgeon cannot influence. Surgeons should therefore be aware of the factors that they can manipulate with a positive outcome.” – Brujin et al, 2012 Intertrochanteric rotational stability The trapezoidal shape provides a pressfit in the metaphyseal region and positions more material on the lateral side of the nail where tensile/ stretching forces tend to be greatest Maintain compression and eliminate Z-effect Integrated Compression Screws thread together to generate push/ pull forces that hold compression...

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TRIGEN™ INTERTAN - 4

Challenge Postoperative complications Complication rates are still above 4% and can reach up to 16% in highly unstable fractures5 The TRIGEN™ INTERTAN™ Solution: Lower risk of implant failure and non-union6,7,8,9,10,11,12,13,14,15 Statistically significant 69% reduction in implant related failures (p=0.001) versus 16 comparator devices 2.5x less varus collapse when compared to the single screw 17 initial rotation and varus collapse 5 • Less varus collapse5,17,18 • Less peri-implant fractures13,19 • ffective in reducing the potential role of the tip of the E short nail as a stress riser13...

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The TRIGEN™ INTERTAN™ Solution: Lower risk of implant failure and non-union6,7,8,9,10,11,12,13,14,15 reduction in non-union (p=0.01) versus 16 comparator devices “The integrated dual screw device offered significantly increased stability throughout the time interval that would be needed for fracture healing.” – Santoni et al, 2016 No non-unions in radiographic analysis of the TRIGEN INTERTAN nail 1

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Challenge pain management Instability of the bone-implant construct > movement at the fracture site > pain11 The TRIGEN™ INTERTAN™ Solution: Statistically significant 54% reduction in chronic hip and thigh pain (p=0.003) versus 16 comparator devices “When pain is not effectively managed, patients are not able to walk as they did before their injury, and they are more likely to have compromised pulmonary and cardiac function.” – Zanzone et al, 2016 “Poorly managed postoperative pain is associated with delayed ambulation, pulmonary complications, and delayed transition to lower levels of...

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Challenge Delayed healing The TRIGEN™ INTERTAN™ Solution: Faster time to fracture union9,11,12,13,19, Insufficient stabilization > excessive motion of the fracture site > delayed healing Nearly 3 week faster time to fracture union versus comparator devices 16 TRIGEN INTERTAN Simulated gait Simulated chair rise Single-screw Single-screw TRIGEN TRIGEN Single-screw TRIGEN device device device INTERTAN INTERTAN INTERTAN initial rotational stability5 In a biomechanical simulated gait study comparing TRIGEN INTERTAN and Gamma3 “Excess interfragmentary shear or rotational movements inhibit repair...

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Challenge Poor functional outcomes The TRIGEN™ INTERTAN™ Solution: Proven high return to pre-fracture status6,13,19,23 Femoral neck shortening > decreases moment arm of abductors > reduced patient function31 Statistically significant higher SF-36 score in favor of TRIGEN INTERTAN (p=0.002) versus the comparator in one study pre-fracture ambulatory status “A large proportion of those patients who survive never recover to their prefracture level of function.” – Abou-Setta et al, 2011 “Shortening of greater than 2cm is known to adversely affect locomotor function in otherwise active...

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Inadequate compression Single Pivot Point Single Screw “Because the screw is rotationally unstable within the bone when using a single lag screw, flexionextension of the limb results in loosening of the bonescrew interface, with the screw secondarily cutting out” – Zhang et al, 2013 Rotational Instability Compression Maintained Two Points of Fixation Integrated Compression Screws “With the more recent identification that rotational instability contributes to malunion and implant– bone construct failure, the use of an integratedslide implant should be considered to provide added rotational...

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There is a lack of definitive evidence identifying the superiority of a helical blade or lag screw implant 33 “The use of the INTERTAN system may be an improvement in surgery compared to Gamma 3...In our department, we have standardized the use of INTERTAN nail for the treatment of intertrochanteric fractures.” - Su et al, 2016 “The results of our study show that the incidence of femoral shaft fractures, rotational loss of reduction, varus collapse of the head/neck, […] cut-out, and femoral neck shortening were decreased in group IT comparing with group PFNA-II.” – Yu et al, 2016 “INTERTAN...

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Economic Impact: In the changing economic landscape of healthcare, better patient outcomes mean better outcomes for hospitals. When considering the costs involved in treating a patient with a hip fracture, 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. “The priority remains improving functional outcomes and reducing complications. If, as a profession, we are to rise to the challenge of...

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