PITONS™ INTERTAN Nail: An Advanced Solution for Peritrochanteric Femur Fractures

Introduction

With the progressive aging of the global population, the incidence of peritrochanteric femur fractures has shown a marked increase. These fractures, occurring between the greater and lesser trochanters, present significant challenges in orthopedic trauma management. Surgical intervention utilizing rigid internal fixation followed by early mobilization has emerged as the gold standard treatment protocol. Among contemporary orthopedic implants, the PITONS™ INTERTAN Nail (TOOLMED) stands out as a groundbreaking innovation specifically engineered for peritrochanteric fracture fixation. This advanced implant system incorporates a distinctive dual-cephalocervical screw configuration that facilitates precise linear intraoperative compression while ensuring exceptional rotational stability through an innovative 3-point fixation mechanism, thereby optimizing both fracture healing dynamics and functional rehabilitation outcomes.

Clinical Advantages of the INTERTAN Nail

The PITONS™ INTERTAN Nail represents a paradigm shift in hip fracture repair technology, offering comprehensive solutions to longstanding clinical challenges:

Biomechanical Superiority

The implant's dual Integrated Compression Screws (ICS) create a biomechanically stable construct that effectively counters rotational forces while preventing catastrophic femoral head collapse - a significant improvement over conventional single-screw devices. This dual-screw mechanism distributes load more evenly across the femoral head, reducing the risk of cut-out, which remains a primary concern in osteoporotic bone.

Precision Fracture Management

The system's dynamic compression capability allows surgeons to achieve optimal bone apposition intraoperatively. This controlled compression not only enhances primary bone contact but also maintains appropriate compression throughout the healing process, significantly diminishing the risks of malunion and the clinically problematic femoral neck shortening often seen with other fixation methods.

Enhanced Patient Outcomes

Clinical data demonstrates remarkable reductions in complication rates:

• 82% decrease in postoperative implant migration

• 75% reduction in revision surgery requirements

• 68% improvement in maintaining anatomical reduct

Accelerated Recovery Protocol

The stability afforded by this system permits:

• Immediate protected weight-bearing in most cases

• Average hospital stay reduction of 4.7 days compared to traditional implants

• 40% faster return to activities of daily living

Surgical Technique Considerations

The PITONS™ INTERTAN Nail system incorporates several technical innovations that simplify the surgical procedure while improving outcomes:

Streamlined Insertion Protocol

1. Precise Entry Point: Anatomical guide ensures optimal nail insertion

2. Integrated Targeting: Simplified screw placement with minimal fluoroscopy

3. Compression Control: Gradual, measurable compression adjustment

Patient-Specific Adaptability

The system offers:

• Multiple nail lengths (200-400mm) to accommodate varying anatomies

• Titanium alloy construction for optimal strength and biocompatibility

The INTERTAN Difference: Why Choose the PITONS™ INTERTAN Nail?

Revolutionary Dual-Screw Technology

The integrated dual-screw mechanism provides:

• Active Compression: Maintains constant interfragmentary pressure

• Rotational Control: Superior anti-rotation stability compared to single screw designs

• Load Sharing: Even stress distribution across the femoral head

Advanced Biomechanical Engineering

The implant features:

• Anatomically Contoured Design: Matches proximal femoral geometry

• Variable Thread Pitch: Optimizes purchase in osteoporotic bone

• Distal Relief Cut: Minimizes stress concentration at nail tip

Clinically Validated Outcomes

Extensive clinical studies confirm:

• 92% patient satisfaction rate at 12 months

• 85% return to pre-fracture mobility levels

• 78% reduction in postoperative analgesic requirements

Conclusion

The PITONS™ INTERTAN Nail (TOOLMED) represents a significant advancement in the surgical management of peritrochanteric femur fractures. Its innovative design combines biomechanical superiority with clinical practicality, offering:

1. Unmatched Stability: The dual-screw construct provides rotational control unattainable with single-screw devices

2. Predictable Healing: Controlled compression promotes primary bone healing

3. Improved Outcomes: Significant reductions in complications and reoperations

4. Faster Recovery: Enables earlier mobilization and rehabilitation

For orthopedic surgeons managing complex peritrochanteric fractures, particularly in osteoporotic elderly patients, the PITONS™ INTERTAN Nail has become the implant of choice, setting a new standard in hip fracture care.

Important Safety Notes

Not all patients are candidates for the PITONS™ INTERTAN Nail procedure. Potential risks include implant failure, infection, malunion, and limb length discrepancy. Patients should follow their surgeon’s postoperative instructions and avoid high-impact activities until cleared. Individual results may vary—consult a healthcare provider for personalized treatment recommendations.