t2 pocket reference yker nailing cards - hi · st r yker nailing tibial nails femoral nails humeral...

Str

yker

Nailin

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Tibial Nails

Femoral Nails

Humeral Nails

Arthrodesis Nails

Flexible NailsT2

T2®

Pocket Reference Cards

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General Notes

The following notes apply to all T2 IM Nails (except T2 Kids) unless separately delineated either below or on the Important Facts page for each nail. Read carefully for tips, pointers, and other facts.

1. All screw hole dimensions reference the center point of the screw.

2. Internal compression screws require a 5.0mm partially threaded screw in the oblong hole.

3. T2 8mm Nails require the use of 4mm fully threaded locking screws (distally) and 5mm (proximally).

4. T2 A/R Humeral nails require ALL 4mm locking screws.

5. T2 nails may ALL require additional reaming for the proximal (driving section) beyond 1 to 1.5mm larger than the nail diameter.

6. T2 GTN - 8, 14 & 15mm nails are special order.

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T2 Tibia NailRequired Instruments Instruments: • T2 Basic Long Tray

• T2 Tibia Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a

Disposables - Sterile: Qty Description Cat No.

1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 800 Ball Tip Guide Wireb 1806-0080S 1 Bixcut Mod Trinkle Shaft, 448mmc 0227-3000S 1 4.2 x 340 Drill Bit (Proximal Guided)d 1806-4260S 1 4.2 x 130 Drill Bit (Distal Freehand)b 1806-4280S

For Internal Compression - Partially threaded screw is required in oblong hole.

- Overdrill near cortex only with the drill below.

Qty Description Cat No.

1 5.0 x 230 Drill Bitd 1806-5000S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm)b. 8mm diameter Tibia nail requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073Sc. Optional: Bixcut Mod Trinkle Shaft, 510mm - Cat No: 0227-8510S Bixcut with AO shaft, 448mm – Cat No: 0226-3000S 3 x 1000 Ball Tip Guide Wire - Cat No: 1806-0085Sd. Optional: If utilizing the short Tissue Protection and Drill Sleeve, the 4.2 x 260mm Drill Bit (1806-4250S) and 5.0 x 180mm Drill Bit (1806-5010S) may be utilized.

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Important FactsShaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm

Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes

Length: 240 to 420mm (15mm increments)

Reaming: 1 to 1.5mm larger than the nail diameter

Proximal Screw Size: 5.0mm fully threaded

Distal Screw Size: 5.0mm fully threaded4.0mm fully threaded for 8mm diameter nail only

Screw Hex Size: 3.5mm

End Caps: Fully threaded, Standard, +5, +10, +15, +20, +25, +30, +35mm(Only the fully threaded end cap locks proximal screw hole)

Internal Diameter: Shaft - 5.0mmDriving end - 8mm metric thread

Compression Screw: Advanced (8mm metric thread)

10 ° A / P slope

34

41

Herzog Bend, 10 °

2515

50mm

Distal Bend, 4 °60mm

0mm

1724

50

Driving End

No Bow

Compression Range 7mm

image of standard nail

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T2 Femoral Nail (Antegrade Mode) Required InstrumentsInstruments: • T2 Basic Long Tray • T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a

Disposables - Sterile:


1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mmb 0227-3000S 1 4.2 x 340 Drill Bit (Proximal Guided) 1806-4260S 1 4.2 x 180 Drill Bit (Distal Freehand) 1806-4270S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below.

Qty Description Cat No. 1 5.0 x 230 Drill Bit 1806-5000S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm)b. Optional: Bixcut with AO shaft, 448mm - Cat No. 0226-3000S 8mm diameter T2 Femoral nails requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073S

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Important FactsShaft Diameter:9, 10, 11, 12, 13, 14, 15mm(8mm diameter require special order)


Length:140 to 480mm (20mm increments) length 240-480mm for R1.5

Reaming:1 to 1.5mm larger than the nail diameter

Proximal Screw Size:5.0mm fully threaded

Distal Screw Size: 5.0mm fully threaded

Screw Hex Size: 3.5mm

End Caps: Standard, +5, +10, +15, +20, +25,+30, +35mm

Internal Diameter: Shaft - 5.0mm Driving End - 8mm metric thread

Compression Screw: Advanced, Standard +5, +10, +15mm (all sizes are 8mm metric thread)

(Antegrade Mode)

Driving End

50

25

0mm

0mm

Compression range 10mm

R=3.0 or 1.5m

35

45

60

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T2 Femoral Nail (Retrograde Mode) Required InstrumentsInstruments: • T2 Basic Long Tray • T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a


1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mmb 0227-3000S 1 4.2 x 340 Drill Bit (Distal Guided) 1806-4260S 1 4.2 x 230 Drill Bit (Proximal Freehand) 1806-4290S Optional: Condyle Screws

Qty Description Cat No. 1 1.8 x 310 Condyle Screw K-Wire 0152-0218S

1 5.0 x 340 Drill Bit 1806-5020S

For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below.


1 5.0 x 230 Drill Bit 1806-5000S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm)b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S 8mm diameter Femoral nails requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073S

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Important Facts (Retrograde Mode)

Shaft Diameter:9, 10, 11, 12, 13, 14, 15mm(8mm diameter require special order)

Driving End Diameter:11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes

Length: 140 to 480mm (20mm increments)length 240-480mm for R1.5


Proximal Screw Size:5.0mm fully threaded

Distal Screw Size: 5.0mm fully threaded1 5.0mm condyle screws

Screw Hex Size: 3.5mm for fully and partially threaded6.3mm for condyle screws and nuts

End Caps:Standard, +5, +10, +15, +20, +25,+30, +35mm (All sizes lock screw in most distal hole)



Driving End

35

45

40

50

25

15

0mm

15

0mm

60

35Compression range 10mm

R=3.0 or 1.5m

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T2 GTN

Instruments: • T2 Basic Long Tray • GTN Indication Tray • Bixcut Modular Head Reamer Kit (Diameter 9 to 18mm)


1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mm 0227-3000S 1 4.2 x 340 Drill Bit (Proximal Guided) 1806-4260S 1 4.2 x 180 Drill Bit (Distal Freehand)b 1806-4270S



1 5.0 x 230 Drill Bit 1806-5000S

Notes:a. Optional: Bixcut with AO Shaft, 448mm - Cat. No: 0226-3000Sb. 8mm diameter T2 GTN Nails can only be locked with 4mm Fully threaded screws at non-driving end Use the Ø3.5 x 180mm Drill (1806-3570S) for freehand locking

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Important FactsType: Left & Right

Shaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm






Screw Hex Size: 3.5mm for all

End Caps GTN: Standard, +5, +10, +15mm

End Caps T2: Standard, +5, +10, +15mm


Canulated Compression Screw:Standard (8mm metric thread)

0mm8mm

43mm

26.6mm

45mm

55mm

69.5mm

CompressionRange 10mm

0mm

4° Valgus Bend R=1.5m

Driving End

GTN End-Caps cannot be used with internal compression screw

T2 End-Caps used with cannulated compression screw

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T2 Supracondylar Nail (SCN)Required Instruments

Instruments: • T2 Basic Long Tray • T2 SCN Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a


1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mm 0227-3000S 1 4.2 x 340 Drill Bit (Distal & Proximal Guided) 1806-4260S 1 4.2 x 230 Drill Bit (Proximal Freehand) 1806-4290S 1 1.8 x 310 Condyle Screw K-Wire 0152-0218S 1 5.0 x 340 Drill Bit (For Condyle Screw) 1806-5020S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm)

b. Optional: Bixcut with AO shaft, 448mm - Cat No: 0226-3000S

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Important FactsShaft Diameter: 9, 10, 11, 12, 13, 14mm


Length: Short Nail – 170 & 200mmLong Nail – 240 to 440mm (20mm increments)



Distal Screw Size: 5.0mm fully threaded 5.0mm condyle screws

Screw Hex Size: 3.5mm for fully threaded6.3mm for condyle screws and nuts

End Caps: Standard (locks most distal screw)


Driving End0mm6

14 21

32

42(4° A/P bend)

0mm

1520

40

R=2mLong Nail Only

Short Nailhas No Bow

Hole reference dimensions are the same for the Long and Short nails.

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T2 Recon Nail (Antegrade Mode) Required Instruments

Instruments: • T2 Basic Long Tray • T2 Recon Tray

• Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a


1 3.2 x 400 Recon K-Wire (Entry) 1806-3031S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mmb 0227-3000S 1 4.2 x 250 Drill Bit (Proximal Guided First Cortex) 1806-8018S 1 4.2 x 340 Drill Bit (Proximal Guided) 1806-4260S 1 4.2 x 180 Drill Bit (Distal Freehand) 1806-4270S


b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S

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Important Facts (Antegrade Mode)

Type: Left & Right

Shaft Diameter: R2.0: 9, 11, 13, 15R1.5: 9, 10, 11, 12, 13, 15

Driving End Diameter: 13mm for shaft diameters 9-12mm15mm for shaft diameters 13 & 15mm

Length: R2.0: 280 to 480mmR1.5: 260 to 480mm(20 mm increments)

Reaming: 1.5 to 2.0mm larger than the nail diameter




Set Screw: 8.0mm metric thread(Locks oblique screw)

End Caps: Standard, +5, +10, +15mm


Driving End

0mm

70°

Set Screw, Antegrade

0mm

44

15

40

20

R= 2.0 or 1.5m

7° retroversion

4° Valgus Bend75

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T2 Recon Nail (Recon Mode) Required Instruments

Instruments: • T2 Basic Long Tray • T2 Recon Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a


2 3.2 x 400 Recon K-Wire (Entry & Lag Screws) 1806-3031S 1 3 x 1000 Ball Tip Guide Wire 1806-0085S 1 Bixcut Mod Trinkle Shaft, 448mmb 0227-3000S 1 Solid Step Drill (Lag Screws) 1806-3026S 1 4.2 x 180 Drill Bit (Distal Freehand) 1806-4270S


b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S

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Important Facts (Recon Mode)

Type: Left & Right

Shaft Diameter: R2.0: 9, 11, 13, 15R1.5: 9, 10, 11, 12, 13, 15

Driving End Diameter: 13mm for shaft diameters 9-12mm15mm for shaft diameters 13 & 15mm

Length: R2.0: 280 to 480mmR1.5: 260 to 480mm(20 mm increments)

Reaming: 1.5 to 2.0mm larger than the nail diameter

Proximal Screw Size: 6.5mm Lag Screws


Screw Hex Size: 3.5mm for fully threaded screws5.0mm for Lag Screws

Set Screw: 8.0mm metric thread (locks most proximal lag screw)

End Caps: Standard, +5, +10, +15mm


Driving End

0mm

4° Valgus Bend

Set Screw, Recon

26

10.5

17

125° CCD

0mm

15

40

20

2.0 or 1.5m

10° Anteversion

75

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T2 Humeral Nail (Antegrade & Retrograde) Required Instruments

Instruments: • T2 Basic Short Tray • T2 Humeral Tray • Full Bixcut Kit (diameter 6 to 22mm)


1 3 x 285 K-Wire (Entry) 1806-0050S 1 2.5 x 800 Ball Tip Guide Wire 1806-0083S 1 Teflon Exchange Tubea 1806-0073S 1 2.2 x 800 Smooth Tip Guide Wire 1806-0093S 1 3.5 x 230 Drill Bit (Proximal & Distal)b 1806-3540S



1 4.0 x 180 Drill Bit 1806-4000S

Notes:a. With T2 PHN / HUMb. Optional: Drill for freehand locking: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S

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Important FactsShaft Diameter: 7, 8, 9mm

Driving End Diameter: 8mm for 7mm shaft diameter Same as shaft diameter for all other sizes

Length: 140 to 180mm (20mm increments)190 to 320mm (10mm increments)


Proximal/Distal Screw Size: 4.0mm fully threaded1

Screw Hex Size: 3.5mm for all2.5mm for commpression screw only

End Caps: Standard, +5, +10, +15, +20, +25mm (all sizes lock screw in hole closest to driving end)



0mm

12

23

62Bend, 6°

CompressionRange 6mm

3036

48

28

18

10

0mm

Bend, 4°

Driving End

No Bow

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T2 Proximal Humeral Nail (PHN)Required InstrumentsInstruments: • T2 Basic Short Tray • T2 PHN Tray • Full Bixcut Kit


1 3 x 285 K-Wire (Entry) 1806-0050S 1 2.5 x 800 Ball Tip Guide Wire 1806-0083S 1 Teflon Exchange Tube 1806-0073S 1 2.2 x 800 Smooth Tip Guide Wire 1806-0093S 1 3.5 x 130 Drill Bit (Distal free-hand)b 1806-3550S

Optional: Drills for Proximal screws in case of dense bone. Drill Near Cortex Only


1 5.0 x 180 Drill Bit (Proximal) 1806-5010S

Notes:a. Distal guided drill only for short nail

b. Use with long nail only

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Important Facts Type: Left & Right

Shaft Diameter: 8mm

Driving End Diameter: 10mm

Length: Short Nail: 150mmLong Nail: 220 to 300mm (20mm increments)

Reaming: 1-1.5mm larger than the diameter of nails




End Caps: Standard, +2 +4mm (all sizes lock screw in most proximal hole)


Long Nail

95

101

0mm

62Bend,

6°

80

10°

9°

Short Nail

9.5

17

23

29.5

7.5

0mm

2113.5

28.5

36

Driving End

No BowLong & Short Nail

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T2 Knee Arthrodesis NailRequired InstrumentsInstruments: • T2 Basic Long Tray

• T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)


1 3 x 285 K-Wire (Entry) 1806-0050S 2 3 x 1250 Ball Tip Guide Wireb 1806-1250S 1 Bixcut Mod Trinkle Shaft, 885mmb 0227-8885S 1 4.2 x 340 Drill Bit (Proximal) 1806-4260S 1 4.2 x 180 Drill Bit (Distal) 1806-4270S



1 5.0 x 230 Drill Bit 1806-5000S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm)b. Optional: For separate reaming of Tibia and Femur use: Tibia: 3 x 800 Ball Tip Guide Wire – Cat No: 1806-0080S Femur: 3 x 1000 Ball Tip Guide Wire – Cat No: 1806-0085S Bixcut Mod Trinkle Shaft, 448mm – Cat No: 0227-3000S Optional: Bixcut with AO shaft, 448mm - Cat No: 0226-3000S

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Shaft Diameter: 10, 11.5, and 13mm

Driving End Diameter: Same as shaft diameter


Reaming: 1.5 to 2.0mm larger than the diameter of the nail

Proximal Screw Size: 5.0mm fully threaded1



End Caps: Standard, +5, +10, +15, +20, +25, +30, +35mm (does not lock most proximal screw)


Compression Screw: Standard, only 8mm compression screw(Cat. No: 1825-0000S)(all sizes have 8mm metric thread)

Do not use the most proximal hole on the Targeting device.

Driving End

0mm

0mm

35

45

60

2535

75

R=3m

Compression range 10mm

5° Bend (Valgus)

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T2 Ankle Arthrodesis NailRequired Instruments

Instruments: • T2 Basic Long Tray

• T2 Ankle Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)


1 3 x 285 K-Wire (Entry) 1806-0050S 1 3 x 800 Ball Tip Guide Wire 1806-0080S 1 Bixcut Mod Trinkle Shaft, 448mmc 0227-3000S 1 Teflon Exchange Tube 1806-0073S 1 3 x 800 Smooth Tip Guide Wire 1806-0090S 1 4.2 x 340 Drill Bit 1806-4260S 1 4.2 x 250 Drill Bit (Proximal Guided)b 1806-8018S



1 5.0 x 230 Drill Bit 1806-5000S

Notes:a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. For 300mm nail proximal free hand locking is required Use: 4.2 x 130 Drill Bit – Cat No: 1806-4280Sc. Optional: Bixcut with AO Shaft, 448mm – Cat. No: 0226-3000S

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Shaft Diameter: 10, 11, and 12mm

Driving End Diameter: 12mm for all shaft diameters

Length: 150, 200 and 300mm

Reaming: 1 to 1.5mm larger than the diameter of the nail Proximal Screw Size: 5.0mm fully threaded

Distal Screw Size: 5.0mm fully threaded1


End Caps: Standard, +5, +10, +15mm (All sizes lock screw in most distal hole)


Compression Screw: 8mm metric thread, cannulated2

(Cat. No: 1818-0001S)Must be pre-loaded into nail prior to insertion

Ball tip Guide wire does not pass through compression screw

Driving End

No Bow

47

19.5

7.5

40

15

0mm

0 mm

5° valgus bend

Distal hole is10° P/M to A/L

InternalCompression Range 5mm

20

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T2 Kids Flexible Nail

Instruments: T2 Kids Basic

Materials The T2 Flexible Nail is offered in two materials:

Titanium: Ti6Al4V Type II anodized withlaser-etched bands for easy nail diameter identification

Stainless Steel: 1.4441 (316LVM) with laser etched bands for easy nail diameter identification

Diameters Diameters: Ø1.5; Ø1.75; Ø2.0; Ø2.25mm with length 300mm

Diameters: Ø2.5; Ø3.0; Ø3.5; Ø4.0mm with length 450mm

Ø Nail = 0.4 x ØIM Canal (with some individual adaptations tolerated).

T2 Kids Optional Instrument Set available separately.

Pre-curved shaft portionIt can be bent back with the bending instrument, if required.

Nail Tip

Outercurve(convex)

Inner Curve(concave)

Tapered extremity

Curved Nail tip ornail tip curvature

ø N

ail

(d)

Tip

R = 4 x Nail ø

TipøNail

= 2.2

øNail = øIM canal x 0.4

Nail end (Driving end)

T2_BR_1_Rev1.indd 25 7/1/14 1:57 PM

325 Corporate Drive Mahwah, NJ 07430 t: 201 831 5000

www.stryker.com

A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker, T2. All other trademarks are trademarks of their respective owners or holders.

T2-BR-1 Rev. 1 06-2014

Copyright © 2014

T2_BR_1_Rev1.indd 26 7/1/14 1:57 PM

t2 pocket reference yker nailing cards - hi · st r yker nailing tibial nails femoral nails humeral...

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