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Vet Comp Orthop Traumatol 2000; 13(03): 109-114
DOI: 10.1055/s-0038-1632643
Clinical Communication
Schattauer GmbH

Initial experience with a newly developed medullary stabilization nail (Trilam nail)

Volker Hach
1   Small Animal Veterinary Clinic in Frankfurt/Main, Germany
› Author AffiliationsThe author would like to thank Dr. Timothy Lenehan for reviewing the manuscript.
Further Information

Publication History

Received 15 June 1999

Accepted 01 May 2000

Publication Date:
09 February 2018 (online)

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Summary

The Trilam nail is made of stainless steel and has three lamellae running along its length. After surgical exposure the fragments are speared together with the pointed end of the nail. Eightynine limb fractures we repaired by this means. The type of fracture played a secondary role. Healing was achieved in all of the cases. Due to telescopic instability in one and slight collapse of the fracture surgical recorrection had to be performed in two cases. The advantages of the Trilam nail, over alternative surgical procedures for osteosynthesis, are that it is possible to treat fractures close to the metaphysis and to ensure rotational stability, as well as a reduction in the operating time.

This paper reports on the treatment of fractures in small animals with a newly developed, rotationally stable intramedullary nail. It was used in dogs, cats, rabbits, a bird and a monkey for transverse, oblique, spiral and comminuted fractures.

Keywords

Osteosynthesis - intramedullary nail - Trilam nail - fracture
 

  • REFERENCES

  • 1 Brug E, Joist A, Sproedt J. Indikation und Technik der Bündelnagelung am Humerus. Chir Praxis 1998; 54: 441-54.
    PubMedGoogle Scholar
  • 2 Bucholz RW, Ross SE, Lawrence KL. Fatigue fracture of the interlocking nail in the treatment of fractures of the distal part of the femoral shaft. J Bone Joint Surg 1987; 69-A: 1391-9.
    PubMedGoogle Scholar
  • 3 Dixon BC, Tomlinson JL, Wagner-Mann CC. Effects of three intramedullary pinning techniques on proximal pin location and articular damage in the canine tibia. Vet Surg 1994; 23: 448-55.
    CrossrefPubMedGoogle Scholar
  • 4 Dueland RT, Berglund L, Vanderpy jr R, Chao EYS. Structural properties of interlocking nails, canine femora, and femurinterlocking nail constructs. Vet Surg 1996; 25: 386-96.
    CrossrefPubMedGoogle Scholar
  • 5 Dueland RT, Johnson KA, Roe SC, Engen MH, Lesser AS. Interlocking nail treatment of diaphyseal long-bone fractures in dogs. J Am Vet Med Assoc 1999; 214: 59-66.
    PubMedGoogle Scholar
  • 6 Dueland RT, Vanderby Jr R, McCabe RP. Fatigue study of six and eight mm diameter interlocking nails with screw holes of variable size and number. Vet Comp Orthop Traumatol 1997; 10: 194-9.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Durall I, Diaz MC, Morales I. Interlocking nail stabilization of humeral fractures. Initial experience in seven clinical cases. Vet Comp Orthop Traumatol 1994; 07: 3-8.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Durall I, Diaz MC. Early experience with the use of an interlocking nail for repair of canine femoral shaft fractures. Vet Surg 1996; 25: 397-406.
    CrossrefPubMedGoogle Scholar
  • 9 Duhautois B. L’enclouage verrouille veterinaire: etude clinique retrospective sur 45 cas. Pract Med Chir Anim Comp 1995; 05: 613-30.
    PubMedGoogle Scholar
  • 10 Fry PD, Jukes HF. Fracture associated sarcoma in the cat. J Small Anim Pract 1995; 36: 124-6.
    CrossrefPubMedGoogle Scholar
  • 11 Grundnes O, Reikeras O. Nailing and occlusion of the medullary cavity. Flow and mechanical changes in rat femora. Acta Orthop Scand 1994; 65: 175-8.
    CrossrefPubMedGoogle Scholar
  • 12 Hackethal KH. Die Bündelnagelung. Berlin, Gottingen, Heidelberg: Springer; 1961
    Google Scholar
  • 13 Hay CW, Johnson KA. Interlocking nail fixation of an opening wedge corrective osteotomy for femoral malunion in a dog. Vet Comp Orthop Traumatol 1995; 08: 218-21.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I: The influence of stability of fixation and soft tissue preservation. Clin Orthop 1989; 238: 249-57.
    CrossrefPubMedGoogle Scholar
  • 15 Jenny JY, Jenny G, Kempf G. Infection after reamed intramedullary nailing of lower limb fractures. A review of 1464 cases over 15 years. Acta Orthop Scand. 1994. 65 94-6.
    Google Scholar
  • 16 Kempf I. Vorzüge des Verriegelungsnagels. In: Wolter and Zimmer’s Plattenosteosynthese und ihre Konkurrenzverfahren. Berlin, Heidelberg, New York: Springer; 1991: 138-40.
    Google Scholar
  • 17 Klemm KW, Börner M. Interlocking nailing of complex fractures of the femur and tibia. Clin Orthop Rel Res 1985; 212: 89-100.
    PubMedGoogle Scholar
  • 18 Küntscher G. Die Behandlung von Knochenbrüchen bei Tieren durch Marknagelung. Arch Wiss Prakt Tierheilkd 1940; 75: 262.
    PubMedGoogle Scholar
  • 19 Küntscher G, Maatz R. Technik der Marknagelung. Leipzig: Thieme; 1945
    Google Scholar
  • 20 Küntscher G. Praxis der Marknagelung. Stuttgart: Schattauer; 1962
    Google Scholar
  • 21 Martin R, Leighton RK, Petrie D, Ikejiani C, Smyth B. Effect of proximal and distal venting during intramedullary nailing. Clin Orthop 1996; 332: 80-9.
    CrossrefPubMedGoogle Scholar
  • 22 Melcher GA, Metzdorf A, Schlegel U, Ziegler WJ, Perren SM. Influence of reaming versus non reaming in intramedullary nailing on local infection rate: experimental investigation in rabbits. J Trauma 1995; 39: 1123-8.
    CrossrefPubMedGoogle Scholar
  • 23 Miller A. Principles of fracture surgery. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, Miller A. (eds). Shurdington UK British Small Animal Vet Ass. 1998: 65-95.
    Google Scholar
  • 24 Muir P, Parker RB, Goldsmid SE, Johnson KA. Interlocking intramedullary nail stabilization of a diaphyseal tibial fracture. J Sm Anim Prac 1993; 34: 26-30.
    PubMedGoogle Scholar
  • 25 Neudeck F, Wozasek GE, Obertake U, Thurnher M, Schlag G. Nailing versus plating in thoracic trauma. An experimental study in sheep. J Trauma 1996; 40: 980-4.
    CrossrefPubMedGoogle Scholar
  • 26 Perren SM, Klaue K. Von der Schienung zur Kompression. In: Wolter and Zimmer’s Plattenosteosynthese und ihre Konkurrenzverfahren. Berlin, Heidelberg, New York: Springer; 1991: 9-21.
    Google Scholar
  • 27 Roe SC. Biomechanics of interlocking nail fixation. Am Coll Vet Surg Sympos Chicago IL. 1995: 280-1.
    PubMedGoogle Scholar
  • 28 Roe SC. Biomechanical basis of bone fracture and fracture repair. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, Miller A. (eds). Shurdington UK British Small Animal Vet Assoc; 1998: 17-29.
    Google Scholar
  • 29 Rousch JK, Mclaughlin RM. Using interlocking nail fixation to repair fractures in small animals. Vet Med Jan. 1999: 46-52.
    PubMedGoogle Scholar
  • 30 Stead AC. Management of specific fractures: The Femur. In Manual of Small Animals Fracture Repair and Management. Couglan A, Miller A. (eds). Shurdington UK British Small Animal Vet Assoc; 1998: 229-49.
    Google Scholar
  • 31 Steriopoulos K, Psarakis SA, Savakis C, Papatitsou E, Christakis D. Architecture of the femoral medullary canal and working length for intramedullary nailing – Biomechanic indications for dynamic nailing. Acta Orthop Scand Suppl 1997; 275: 123-6.
    PubMedGoogle Scholar
  • 32 Vaughan LC. History of fracture treatment. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, Miller A. (eds). Shurdington UK British Small Animal Vet Assoc; 1998: 9-17.
    Google Scholar
  • 33 Weller S. Vorzüge des Marknagels. In: Wolter and Zimmer ‘s Plattenosteosynthese und ihre Konkurrenzverfahren. Berlin, Heidelberg, New York: Springer; 1991: 131-4.
    Google Scholar
  • 34 Winquist RA, Hansen ST, Clawson DK. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases. J Bone Joint Surg 1984; 66A: 529-39.
    PubMedGoogle Scholar
  • 35 Wiss DA. Symposium -Intramedullary fixation of long bone. Clin Orthop Rel Res 1986; 02: 212-8.
    PubMedGoogle Scholar