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Product Overview

The Gap endo-exo medullary systemTM consists of an intramedullary nail linked to a lateral buttress plate, via lag and mechanical screws, creating a combined Endomedullary / Exomedullary osteosythesis device. This novel approach of osteosynthesis creates a load sharing system between the nail and plate, thus limiting the risk of stress fractures and improving the implant stability in weak bones.

INTENDED USE:
The Gap endo-exo medullary system is used for the treatment of fractures or correction of deformities in the femur, tibia and humerus of pediatric patients, who have reached skeletal maturity. Indications include:
• Correction of deformities (OI, skeletal dysplasia, coxa vara, coxa valga)
• Diaphyseal fracture of the femur, tibia and humerus
• Subtrochanteric, intertrochanteric and combination fractures of the femoral neck.
• Nonunions and malunions

ADVANTAGES:
• Available sizes range from Ø4.8 to 8.0 mm
• Endo/Exo hyperstatic system designed to improve load distribution
• Plate offers support to greater trochanter
• Coxa vara plate (guidance of k-wires and support of osteotomy)
• Instrumentation allows for guided distal fixation and precise measurement of anteversion/derotation correction
• Precise and simple surgical technique
(https://www.pegamedical.com/en/Products/Gap-Nail-the-endo-exo-medullary-system.html)

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