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

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

  2. The VeroNail System

  3. Product Indications

  4. Product Indications

  5. Additional Indications • Go Long!

  6. Fundamental Principles • Closed fracture reduction • Minimally Invasive • Rotational Stability • Prevention of Collapse • Biomechanical Strength

  7. Closed Reduction • PORD Device for correction of Posterior Sagging

  8. Closed Reduction • 128º A/P

  9. Minimally Invasive • Trochanteric Entry • Medial/Lateral Bend

  10. Minimally Invasive • Minimized diameter of nail • Proximal • Distal • What does minimized diameter provide?

  11. IMHS CP by Smith & Nephew Rotational Stability • Operative

  12. 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

  13. Prevention of Collapse

  14. Fundamental Principles Summary • Closed fracture reduction • Minimally invasive • Rotational stability of the femoral head • Prevention of collapse • Biomechanical strength

  15. Hip Fracture Treatment Goals • Quick to Rehab • Return to Pre Fracture Situation Ambulation!

  16. Additional Features and Benefits

  17. Long

  18. Sliding Cephalic Screw • Self Drilling/Self Tapping Tip Design • Non Cannulated • XCaliber Thread Design

  19. Convergent (Fixed) Cephalic Screw • Self Drilling/Self Tapping Tip Design • Non Cannulated • XCaliber Thread Design

  20. Only loose particles of drill debris „Interdentating effect“

  21. 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

  22. 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)

  23. Tak !Ta fur noo!( Scots for above)

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