HOW DOES GAMMA COMPARE TO TFN???

Discussion in 'Stryker' started by Anonymous, Aug 3, 2006 at 11:50 PM.

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GAMMA OR SYNTHES TFN BETTER

Poll closed Sep 2, 2006.
  1. GAMMA

    0 vote(s)
    0.0%
  2. TFN

    0 vote(s)
    0.0%
  3. SAME

    0 vote(s)
    0.0%
Multiple votes are allowed.
  1. Anonymous

    Anonymous Guest

    Lateral thigh pain? Who the hell doesnt have lateral thigh pain after falling on your hip and breaking it douche bag? Show one piece of literature with a patient population and statistcal significance to your claim on cut out rate of the helical blade. It doesnt exist. Once again jackass, know your competition! Synthes has a screw also! Typical Stryker rep, tell the surgeon anything to get your sale.
     

  2. Anonymous

    Anonymous Guest

    yup s&n blows. never seen a rep or a trauma implant put in. make fun of me all you want but sucks to work for a company that doesn't have marketshare and decent products. come to maryland and tell me who uses s&n
     
  3. Anonymous

    Anonymous Guest

    Not a huge fan of either nails... but the TFN is a POS. I've been in a bunch of TFN removals, which were put in by different doctors, in different types of patients. All using the helical blade. That damn thing just wants to cut out!

    Honestly, whatever brand a surgeon may choose... Lag screws are the superior option.
     
  4. Anonymous

    Anonymous Guest

    It is obvious you know nothing about the mechanical differences between the lag screw and helical blade. I suggest you study. That said, they are both are great nails and do what they are designed for. The main problem comes with the end user. Was it used as indicated, how was their tip apex distance, were they center center, etc...the list goes on. As reps we can only provide help in terms of making the case go smoothly for the doctor and the staff. You do not perform the case. Truth be told, Ive seen messy revisions with both nails and Ive seen great results with both. We sell in an enviroment where hip fx business is a relationship only sale. Everyone has a good product.
     
  5. Anonymous

    Anonymous Guest

    Without a doubt, Gamma superior.
    Synthes playing catchup with lag screw.
    Which device has seen more growth over the last 5 yrs?
     
  6. Anonymous

    Anonymous Guest

    Gamma 3 has smaller proximal diameter (15.5mm) than Synthes TFN(17mm), TFN has the helical blade which has some clinical support in regards to reducing amount of bone removed. What is the helical blade like to remove, ever any issues pounding/inserting helical blade...?? TFN(long) has anatomic 1.5 radius of curvature.

    What is so special about Gamma 3? What advantages does it have over Zimmer CM(15.5mm prox dia., varying radius of curvature, same size lag screw) or Depuy Affixus(15.6mm prox dia., varying radius of curvature, same size lag screw & AR pin)? How is Gamma becoming the "gold standard in hip fractures"?
     
  7. Anonymous

    Anonymous Guest

    zimmer has a nail? man, thats funny
     
  8. Anonymous

    Anonymous Guest

    I'll tell you what both synthes & Stryker have that makes a difference. Instrumentation, both have distal targeting guide. I know many surgeons pride themselves on there ability to do perfect circles but the distal targeting guide saves a ton of time!
     
  9. Anonymous

    Anonymous Guest

    Yeah, because that's what really makes the difference when choosing the right implant to use on a patient.

    Get your ass back over to the back table and quietly hand up instruments.
     
  10. Anonymous

    Anonymous Guest

    Exactly what is so great about the Gamma implant? Which implant would you rather have in your body...?? The Gamma, that has no varying radius of curvature, or a nail like Zimmers CM, the Depuy Affixus, or S&N Intertan that have a radius of curvature in the long nail? Is medial cortex impengment a concern with a nail with no radius of curvature? I think we can all agree that no two humans are created with the exact same straight femur, especially older women with bowed femurs who are typically more likely to break a hip. Could trying to anatomically fit a straight nail in this bowed femur lead to medial cortex impengment? How can something be 'anatomic' & 'universal' as the Gamma claims to be..?

    All Im trying to say is that the Gamma implant is nothing special, what does the implant have that makes it a better option....Nothing, so ease of use must have something to do with it...
     
  11. Anonymous

    Anonymous Guest

    The curve is A - P what is your medial (M - L) question????


     
  12. Anonymous

    Anonymous Guest

    Nail differences are minimal.

    There is a lot of noise in this discussion.
    Having used all of these devices fairly routinely (300 nails in residency, and too many to count now) - I'd have to say for routine fractures - nail companies really don't matter much - poor results are probably more surgeon dependent.

    I've done about 300 inter-troch fractures. About 100 Synthes TFN and 200 Smith and Nephew Intertans. all short nails. I'd have to say stability wise - the Intertan offers much more control, and is less damaging to osteoporotic bone. I've revised to THR about 10 nails for AVN s/p IT Fxs - 9 were TFN and one was a Gamma.

    I think that it's easier to displace IT Fx with the helical blade - and have revised several of these as well.

    Only 2 post op complications so far - a fracture the distal tip on a short TFN, and one cut out on a Gamma.

    I have had one instrument break on a innertan after my muscular junior resident way over tightened a screw.

    Taking out a TFN helical blade is not something I would wish upon an enemy.
     
  13. Anonymous

    Anonymous Guest


    You clearly do not know what you are talking about. If you are trying to imply that the long gamma nail is straight and doesn't have a radius of curvature...you have proven to have no credibility. The gamma has 1.5 and 2.0 curvatures left and right. Hope you didn't try that garbage pitch with your surgeon.
     
  14. Anonymous

    Anonymous Guest

    STudy showed Intertan no better than sliding hip screw .... that was always assumed. Hardly great data for a nail that's a pain to put in.
     
  15. Anonymous

    Anonymous Guest

    TFN is a superior product
     
  16. Anonymous

    Anonymous Guest

    All troch nails are the same now. Just like drivers in golf. They are all good.
    However, all trauma reps are not the same, just like golfers. The ones who do trauma all the time are usually more successful, just like the golfers that play all the time. The guys who play golf occasionally usually suck at golf just like the Zimmer reps that do trauma.
     
  17. Anonymous

    Anonymous Guest

    Good one! Oh so true and so funny! ;-)
     
  18. Anonymous

    Anonymous Guest

    true...to be in the room w/o my synthes rep is miserable and it takes twice as long to do the case


     
  19. Anonymous

    Anonymous Guest

    How's the Gamma 4 limited release coming along?
     
  20. Anonymous

    Anonymous Guest

    True...I would add a lot has to do with the surgeon. If you have a hand specialist that takes weekend call I don't think an intertan would be a wise decision the TFN would be better. Btw intertan is coming out with a narrow option that is 12mm proximal for those who don't like taking 16-17mm.