Nail Design Implant Design Intraoperative Adaptability: Hybrid nail with 5 locking options proximally can treat varying fracture patterns, allowing customers to quickly adapt to varying intraoperative needs Nails designed for preferred entry, include a length dependent radius of curvature for improved anatomic fit and have a beveled tip to ease insertion Additional Stability: Advanced Locking Screws: Designed with oversized threads which engage with internal threads of the T2 Alpha Femur Retrograde Nail, thereby limiting relative movement between the nail and the screw, providing increased axial fracture stability in any 5mm round locking hole when the surgeon chooses. IMN Locking Screws: design provides increased fatigue strength compared to competition. Controlled Compression: Up to 10mm of controlled compression can be applied through the nail using an internal or external compression method. This allows for a more controlled reduction of the fragments when compared to the traditional backslapping method. Streamlined Instrumentation Platform One core basic tray that is used across Gamma4 and all T2 Alpha nail indications, designed to improve platform consistency, familiarity for hospital staff and ease of use. Guided Distal Targeter Designed to provide reproducible locking and reduce the total number of x-ray shots compared to freehand locking. Provides 77% less radiation exposure, 64% shorter fluoroscopy time and 60% shorter intraoperative time for distal locking when compared to the freehand “perfect circles” method. Nailing Options PF Nailing System (piriformis fossa) Intended for temporary stabilization of bone segments or fragments until bone consolidation has been achieved. The Femoral Nail PF is for piriformis fossa entry. GT Nailing System (Greater trochanter) Intended for temporary stabilization of bone segments or fragments until bone consolidation has been achieved. The Femoral Nail GT is for greater trochanteric entry Indications The indications for use of these internal fixation devices include: Fixation of subtrochanteric, intertrochanteric, ipsilateral neck / shaft, comminuted proximal femoral shaft fractures Femoral fixation required as a result of pathological disease Temporary stabilization of fractures of the femoral shaft ranging from the femoral neck to the supracondylar regions of the femur Open and closed femoral fractures Pseudoarthrosis and correction osteotomy Pathologic fractures, impending pathologic fractures and tumor resections Ipsilateral femur neck/shaft fractures Fractures proximal to a total knee arthroplasty Nonunions and malunions Fractures involving osteopenic and osteoporotic bone Approaches Incision Greater Trochanteric Entry – Femoral Nail GT Piriformis Fossa Entry – Femoral Nail PF Entry point Greater trochanteric – Femoral Nail GT Piriformis fossa – Femoral Nail PF Screws Femur Antegrade GT/PF Nailing System Femur Antegrade GT/PF Nailing System Locking Screws Ø5mm, 25mm – 120mm length 25mm - 60mm in 2.5mm increments 60mm - 120mm in 5mm increments Advanced Locking Screws Ø5mm, 30mm – 100mm length 30mm - 60mm in 2.5mm increments 60mm - 100mm in 5mm increments T2 Lag Screws Recon Ø6.5mm, 65mm – 130mm length