References:

1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.

Challenge:  Radiation Exposure

TRIGEN SURESHOT* Distal Targeting System

Achieve perfect circles without the use of radiation. Real-time video feedback ensures the proper screw orientation relative to the distal interlocking holes.

Accuracy:
Distal locking was 100% successful on 50 procedures using the TRIGEN SURESHOT System.¹

Reduced time:
Distal locking time was reduced by an average of 48% compared to the standard fluoroscopy technique.¹

Reduced radiation:
Regarding radiation emission, fluoroscopy time was reduced by an average of 31 seconds which is the equivalent to approximately 0.663 rad.¹

Nails that utilize TRIGEN SURESHOT technology

TRIGEN META-NAIL Tibial

TRIGEN FAN Femoral Antegrade Nails

TRIGEN TAN Trochanteric Antegrade Nails

TRIGEN META-NAIL Retrograde Femoral Nail

TRIGEN Humeral Nail (long)

Click here to learn more about TRIGEN SURESHOT

References:

1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.

Challenge:  Instrument Efficiency

One base instrument tray for all lower extremity long bones that allows the OR staff to make short work of long bone fractures.

Specialized Instruments

1. Reducer

Curved tip directs the guide rod past the fracture site.

2. Captured Screw Hexdriver

Internal threading allows the hexdriver to rest just inside the screw head to ensure positive contact and prevent screw loss. 

3. Honeycomb

Choose and fine-tune a starting position without constant removal of guide pins. 

References:

1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.

Challenge:  Tibial Fractures

TRIGEN META-Nail Tibial

Enhanced Fixation
Dedicated Instruments for blocking screws and extension nailing

Enhanced Fixation

Dedicated Instruments

Blocking screws

Nailing in extension

Reduced flexion leads to less pull from the quadriceps muscle, helping to avoid fracture malreductions and malalignment.

58% of proximal tibia fractures were malaligned³. 

References:

1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.

Challenge:  Femoral Fractures

Lessen the risk of femoral malrotation.
With the TRIGEN SURESHOT Distal Targeting System, the leg does not need to be maneuvered for fluoroscopy.⁴

^{TRIGEN FAN Femoral Antegrade Nails}

^{TRIGEN TAN Trochanteric Antegrade Nails}

^{TRIGEN META-NAIL Retrograde Femoral}

3 femoral entry options

Piriformis fossa - TRIGEN FAN
Greater trochanter - TRIGEN TAN
Intercondylar fossa - TRIGEN META-NAIL Retrograde Femoral

References:

1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.