designed to advance the treatment of hip fractures.

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1 designed to advance the treatment of hip fractures.

2 introducing the tfn-advanced proximal femoral nailing system (tfna). the tfna system is a new system designed to solve a wide range of unmet needs for surgeons, s, or staff and administrators. more than five years in the making, this system offers advancement in hip fracture treatment, including outcome-based design, reduced procedural complexity, and comprehensive surgical options. it incorporates the best elements of our highly successful global hip nails (tfn, pfna, and pfna ii*), i*), optimized through input from hundreds of surgeons around the world. tfn-advanced proximal femoral nailing system truly is a global platform that delivers modern innovation. *pfna ii is not cleared in the us. 2

3 outcome-based design Designed to improve patient outcomes by resolving some of the most pressing clinical challenges. reduced procedural complexity Designed to improve efficiency and ease of use for surgeons and OR staff. comprehensive surgical options Designed to provide an extensive range of proximal femoral nailing options, including blade/screw head element, locking options, and nail lengths & diameters. 3

4 outcome-based design Designed to improve patient outcomes by resolving some of the most pressing clinical challenges. Improved anatomical fit contoured nail shape (1.0m anatomic bow) based on multi-ethnic 3-d computational study designed to better fit patient anatomy and to help avoid impinging anterior cortex compared to nails with larger radius of curvature. small proximal diameter (15.66mm) and lateral relief cut design help to preserve bone in insertion area due to reduced critical width mm mm LATERAL RELIEF CUT DESIGN design of the nail avoids impingement on lateral cortex mm critical width for 11mm diameter nail.

5 Minimizes head element cut-out tfna Helical Blade technology is designed to compress bone during insertion, which enhances implant anchorage and may reduce the risk of cut-out. Helps prevent nail breakage unique titanium alloy and Bump cut design of proximal hole provides improved fatigue strength compared to existing nails of similar size. Avoids lateral protrusion oblique lateral end of both blade and screw lies flush to lateral cortex to reduce protrusion on soft tissue. static locking option holds blade or screw in a fixed position to help maintain femoral neck length. 5

6 reduced procedural complexity Designed to improve efficiency and ease of use for surgeons and OR staff. radiolucent insertion handle with radiographic indicators improves x-ray visualization and assists with guide wire placement. 6

7 matching internal threads in implant and removal instruments facilitate implant removal. QuicK click self-retaining technology designed for easier attachment of nail to insertion handle. locking mechanism pre-assembled. 7

8 comprehensive surgical options Designed to provide an extensive range of proximal femoral nailing options, including blade/screw head element, locking options, and nail lengths & diameters. Rotational Locking Allows for sliding of blade or screw head element. utilizes the flexible screwdriver. Static Locking provides a fixed construct with no head element movement. utilizes Hex screwdriver with tla. 8

9 choice of both tfna Helical Blade or tfna screw to suit a wide variety of clinical needs, which supports surgical preferences and helps facilitate hospital standardization. optional percutaneous set with larger instruments including protection sleeve and insertion n handle. long nail provides three distal locking options, including a unique oblique distal hole that is offset an additional 10º to better target bone in condyles. Wide selection of nail lengths and diameters covers broad array of patient anatomy. 9

10 A complete product portfolio to suit your needs. The TFN-ADVANCED Proximal Femoral Nailing System comprises a variety of implants and instruments to accommodate a range of hip fracture treatment procedures. 10

11 TFNA Standard Set ( ) two graphic cases containing both blade and screw insertion instrumentation opening & nail insertion case (2 high) and Blade/screw insertion & locking case (3 high) TFNA Non-sterile Implants Set ( ) TFNA Percutaneous Set ( ) one graphic case (1 high) that contains tfna Helical Blades, tfna screws and non-sterile distal locking screws one graphic case (1 high) containing percutaneous opening and nail insertion instruments includes 1 each tfna Helical Blade 70mm - 130mm includes 1 each tfna screw 70mm - 130mm includes 2 each distal locking screw 26mm - 90mm 11

12 The TFN-ADVANCED Proximal Femoral Nailing System is designed to advance hip fracture treatment with: outcome-based design reduced procedural complexity comprehensive surgical options to learn more about the future of hip fracture treatment, contact your depuy synthes sales consultant or visit: Indications for Use: tfn-advanced proximal femoral nailing system is intended for treatment of fractures in adults and adolescents (12-21) in which the growth plates have fused. specifically, the system is indicated for: stable and unstable pertrochanteric fractures; intertrochanteric fractures; basal neck fractures; combinations of pertrochanteric, intertrochanteric, and basal neck fractures. the long nail is additionally intended for treatment of fractures in adults and adolescents (12-21) in which the growth plates have fused for the following indications: subtrochanteric fractures; pertrochanteric fractures associated with shaft fractures; pathologic fractures (including prophylactic use) in both trochanteric and diaphyseal regions; long subtrochanteric fractures; proximal or distal non-unions, malunions and revisions. WARNING: in the usa, this product has labeling limitations. see package insert for complete information. CAUTION: federal law restricts these devices to sale by or on the order of a physician. CAUTION: some devices listed in this brochure may not have been licensed in accordance with canadian law and may not be for sale in canada. please contact your sales consultant for items approved in canada. DePuy Synthes All rights reserved. DSUS/TRM/0115/ /15 ADDB Manufactured by (United States): Synthes USA Products, LLC 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Legal manufacturer (Canada): Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905)

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