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Gamma3 Fragment Control Clip

Gamma3 Fragment Control Clip

Gamma3 Fragment Control Clip

Product catalog summary
Introduction
The document outlines the operative technique for using the Gamma3 Fragment Control Clip in hip fracture surgeries, specifically for stabilizing rotationally unstable femoral head-neck fragments during the preparation and insertion of the Gamma3 Lag Screw. It is applicable for Gamma3 Trochanteric and Long Nails.

Instrument Features
The Fragment Control Clip is constructed from radiolucent carbon fibers, similar to the Gamma3 Targeting Arm. It is crucial to follow the Gamma3 Operative Technique up to the 'Lag Screw Insertion' chapter before proceeding with the Fragment Control Clip instructions.

Safety Precautions
K-wires are single-use and should not be reused to avoid potential complications such as lodging in instruments or causing injuries. The K-wire tip should be monitored during drilling using an image intensifier.

Assembly and Insertion
The Fragment Control Clip is assembled onto the Lag Screw Guide Sleeve and Targeting Arm. Proper placement is confirmed by a snap and resistance when closing the Lever Arm. The Fragment Control Sleeve is advanced through the Safety Clamp, marked for left or right femur, and pushed to the skin level for incision. The sleeve is then advanced to the bone, ensuring contact with the lateral cortex for drilling.

Operative Technique
Using a 3.0mm x 300mm drill, the lateral cortex is opened. The drill is replaced by a 3.2mm x 450mm K-wire, which is placed close to the subchondral bone for stabilization. After stabilization, the Lag Screw is inserted and fixed according to the Gamma3 Operative Technique.

Removal
Post-fixation, the K-wire and Fragment Control Sleeve are removed, followed by the Fragment Control Clip. The procedure continues with the Gamma3 Operative Technique for distal screw locking if necessary.

Recommendations
The Fragment Control Clip should only be used if the femoral neck diameter allows K-wire insertion without cortex penetration to avoid artery damage. An anterior approach is recommended to prevent injury to the circumflex artery.

Ordering Information
The document lists standard instruments required, including the Fragment Control Clip, Sleeve, and Drill. It emphasizes the need for workshop training before first use.

Disclaimer
The document provides guidance for using Stryker Trauma devices, with the final decision resting on the surgeon's clinical judgment. Product availability may vary by market.
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Catalog excerpts

Gamma3 Fragment Control Clip-1

Gamma3 Fragment Control Clip TM Operative Technique

 Open the catalog to page 1
Gamma3 Fragment Control Clip-2

Introduction Indication Lateral View Frontal View The Fragment Control Clip is designed to stabilize rotationally unstable femoral head-neck fragments during preparation of the Lag Screw canal and insertion of the Gamma3 Lag Screw. It can be used for Gamma3 Trochanteric and Long Nails. Instrument features The Fragment Control Clip is made from radiolucent carbon bres as is the Gamma3 Targeting Arm Safety Clamp Groove for the Lag Screw Guide Sleeve Situation prior to the Assembly of the Fragment Control Clip onto the Targeting Device Follow the Gamma3 Operative Technique up to the chapter entitled...

 Open the catalog to page 2
Gamma3 Fragment Control Clip-3

Operative Technique Assembling of the Fragment Control Clip on the Targeting Device Assemble the Fragment Control Clip, with the open Lever Arm onto the inserted Lag Screw Guide Sleeve and then on to the Targeting arm (Figure 2). A snap is felt, if the Fragment Control Clip is placed correctly onto the Lag Screw Guide Sleeve. Make sure that the Fragment Control Clip is positioned in close contact to the Targeting Arm (Figure 2). Close the Lever Arm completely to stabilize the Fragment Control Clip. Resistance is felt, if the Lever Arm is in its nal position. Figure 2 Inserting of the Fragment...

 Open the catalog to page 3
Gamma3 Fragment Control Clip-4

Operative Technique Opening of the lateral cortex Using the white coded centre tipped drill 3.0mm × 300mm, the lateral cortex should be carefully opened by using a power tool (Figure 4). K-wire insertion The white coded 3.0mm x 300mm drill is then replaced by the 3.2mm x 450mm K-wire. Using the Guide Wire Handle, the K-wire should be placed as close as possible to the subchondral bone of the femoral head, to allow maximum stabilization of the headneck fragment (Figure 5). Lag Screw Insertion and Lag Screw Fixation After proper fracture fragment stabilization, remove the Guide Wire Handle and...

 Open the catalog to page 4
Gamma3 Fragment Control Clip-5

Ordering Information - Instruments REF Fragment Control Clip Fragment Control Sleeve Drill 3.0mm x 300mm, AO small, sterile, white coded Fragment Control Clip Lateral View Fragment Control Clip Frontal View Fragment Control Sleeve Drill 3.0mm x 300mm, AO small, sterile, white coded This publication sets forth detailed recommended procedures for using Stryker Trauma devices and instruments. It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required. A workshop...

 Open the catalog to page 5
Gamma3 Fragment Control Clip-6

Trauma, Extremities & Deformities Trauma, Extremities & Deformities Surgical Products Surgical Products Stryker Trauma GmbH Prof.-Küntscher-Straße 1-5 D-24232 Schönkirchen Germany www.osteosynthesis.stryker.com The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Surgeons must always rely on their own clinical judgment when deciding which products and techniques to use with their patients. Products may not be available in all markets. Product availability...

 Open the catalog to page 6

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.