FH Orthopedics

30,000 TELEGRAPH nails have been implanted in the last 10 years!

This is the most commonly used nail in France, and the first nail to propose self-stability locking.
A precise and simple instrument set that makes it possible to obtain a reproducible technique.
The TELEGRAPH nail remains the least voluminous material proposed for anterograde nailing of the humerus.

There are two versions :

• a short nail, for proximal fractures ;
• a long nail, for diaphyseal fractures.
  

Indications

Diaphyseal fracture
The diaphysis is separated into 2 parts > Long TELEGRAPH nail

Extra-articular fracture with 2 or 3 fragments
This situation is typical of 60% of cases.
Recommended technique: percutaneous > Short TELEGRAPH nail

Articular fracture
>> Valgus impacted articular fractures :
Standard indication
Recommended technique: Standard > Short TELEGRAPH nail

>> Articular fractures with 3 or 4 fragments, disimpacted or even dislocated :
Recommended technique: Discussion on whether to implant a nail or a prosthesis
anatomical or reverse > Short TELEGRAPH nail or Shoulder prosthesis

The concept

TELEGRAPH is one of the solutions proposed for the pathologies of proximal or diaphyseal fractures of the humerus.
Its straight shape helps ensure there are no lesions at the level of the rotator cuff.
The choice can be made between a short or long nail, with different diameters and different lengths.
The position of the screws is identical.

The short nail

Very commonly used in cases of 2 or 3 fragment extra-articular fractures (60% of cases), this nail allows surgeons to use several different techniques :

1. Percutaneous technique for extra-articular fractures;
2. Standard technique for valgus impacted articular fractures;
3. Technique that can be discussed in cases of articular fractures with 3 or 4 fragments, disimpacted or even dislocated, in which the use of a prosthesis remains conceivable.

The long nail

Its first diameter (7 mm) makes it one of the smallest long nails on the market.
It has assisted distal locking.
It can be fixed or dynamic. The dynamic locking is highly recommended.

Product characteristics

TELEGRAPH is made from stainless steel, which makes it possible to obtain small diameters (7, 8, 9 mm).

Short nail

• 1 length: 150 mm
• 3 diameters: 7 mm, 8 mm, 9 mm
• Material: STAINLESS STEEL
  

Long nail

• 4 lengths: 210 mm, 230 mm, 250 mm, 270 mm
• 2 diameters: 7 mm and 8 mm
• 6 self-stabilising screws:
• Diameters: 4 mm and 6 mm,
• Lengths: 24, 28, 30, 35, 40, 45 mm
• Material: M30
  

• 4 key screws :
• Diameter 4 mm,
• Lengths: 24, 28, 30, 32 mm
• Material: Stainless steel

Instrument sets

3 instrument sets are available:

• Short nail instrument set
• Long nail instrument set
• Mixed instrument set
  

With the mixed instrument set, it is possible to implant both types of nail.