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TRIGEN INTERTAN Hip Fracture System

The TRIGEN INTERTAN Hip Fracture System is designed to heal broken bones of the hip. It has been shown to provide a 3-week faster healing time than other devices for hip fracture.1

What is the TRIGEN INTERTAN Hip Fracture System?

The goal of a hip fracture system is to bring back together the broken parts of the bone. A strong hold is important for proper healing of the fracture.

Some systems hold the broken parts of the bone together with a single screw at the top of the femoral head (thigh bone). The TRIGEN INTERTAN Hip Fracture System is different. It’s designed to hold the parts together with two surgical screws at the top of the femoral head. This second screw helps to strengthen the hold.

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What are the benefits of the TRIGEN INTERTAN Hip Fracture System?

Studies show that the TRIGEN INTERTAN Hip Fracture System outperforms other repair systems in these key areas:

The Procedure

  • First Step
    The surgeon makes a small cut to get to the broken bone.


  • Second Step
    Using the TRIGEN INTERTAN System, the surgeon inserts a metal rod into the central part of the thigh bone. This rod is called an intramedullary nail.


  • Third Step
    The surgeon places two screws through the metal rod and into the broken neck and head of the thigh bone. As the two screws are turned, they pull the broken parts of the thigh bone together for healing.


  • Fourth Step
    The surgeon checks that the bones are in the correct position and tightly compressed together. The surgeon closes the incision.


What is the recovery like?

Each patient’s recovery is different and depends on several factors, including the nature of the hip fracture and individual medical history.

One of the most important parts of recovery is following the instructions of your medical team. This means adhering to guidelines for movement and physical therapy, and letting your team know if you experience any problems.

Typically, surgeons advise patients who have had hip repair surgery to avoid high-impact activities such as running and jumping. Early device failure, breakage, or loosening may occur with high-impact activities or accidents such as falls.

Talk to your surgeon if you have questions about recovery and activities after hip fracture repair.

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What are the risks involved?

All surgery has risks and the potential for complications. Talk to your surgeon about any concerns you may have before you decide on treatment. Some of the possible risks include:

  • Blood clotting
    Blood clotting problems – such as deep vein thrombosis (DVT) or pulmonary embolism (PE) – may occur after surgery and interrupt normal blood flow. Your medical team may recommend medications and exercises to reduce the risk.


  • Infection
    Infection may occur at the surgical site or elsewhere in the body. If a serious infection occurs, additional surgery may be needed.


  • Pneumonia
    After surgery, pneumonia or other breathing problems may develop. Your medical team may recommend measures to reduce the risk.


  • Nerve problems
    Though uncommon, nerves or blood vessels in the hip area may be damaged during surgery.


  • Long-term pain or stiffness
    Most people experience a reduction in pain after surgery, but a small number report long-term pain. In rare cases, the mobility of the hip may be reduced and result in stiffness during walking or other activities. Your medical team can provide treatments to help you achieve maximum range of motion after surgery.


This is not a complete list of risks. In some cases, you may need additional surgery to address a complication. Talk to your surgeon about the possible risks for your specific health situation.

Disclaimers

All information provided on this website is for informational purposes only and is not meant as medical advice. Not everyone is a candidate for the TRIGEN INTERTAN Hip Fracture System, and individual results will vary. Every patient's case is unique, and each patient should follow his or her doctor's specific instructions. Please discuss nutrition, medication, and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

Trademark of Smith+Nephew. 40706 10/2023

Citations

1.Nherera L, Dunbar C, Ridgway J, Horner A. The TRIGEN™ INTERTAN™ Intertrochanteric Antegrade Nail: A Systematic Literature Review and Meta-analysis of Clinical Outcomes Compared to Standard of Care in the Treatment of Intertrochanteric Hip Fractures. Bone & Joint Outcome. 2017;4(1):1-20.

2.Berger-Groch J, Rupprecht M, Schoepper S, Schroeder M, Rueger JM, Hoffmann M. Five-Year Outcome Analysis of Intertrochanteric Femur Fractures: A Prospective Randomized Trial Comparing a 2-Screw and a Single-Screw Cephalomedullary Nail. J Orthop Trauma. 2016;30:483-488.

3.Wu Y, Watson JT, Kuldjanov D, Jackman J. Rotationally stable fixation for intertrochanteric hip fractures: the Intertan experience, surgical technique, and outcomes. Techniques in Ortho. 2014;29;3:120-132

4.Ruecker AH, Rupprecht M, Gruber M, Gebauer M, Barve s using an intramedullary nail with integrated cephalocervical screws and linear compression. J Orthop Trauma 2009;23:22–30.

5.Kim JW, Kim TY, Ha YC, Lee YK, Koo KH. Outcome of intertrochanteric fractures treated by intramedullary nail with two integrated lag screws: A study in Asian population. Indian J Orthop. 2015;49:436-441.

6.Nherera LM, Trueman P, Horner A, Johnstone AJ, Watson JT. A meta-analysis of integrated compression screw compared to single screw nails using a single lag screw or single helical blade screw for intertrochanteric hip fractures. Rheumatology and Orthopedic Medicine. 2018;3(4):1-10.

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