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PLATES & SCREWS
INTRAMEDULLARY NAILS
Telescopic NailLocking Titanium Elastic PinTitanium Elastic Pin
EXTERNAL FIXATORS
SUPPORTIVE PRODUCTS
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Locking TEP (Titanium Elastic Pin) has been developed to take advantage of more than The Titanium Elastic Pin by giving a slope to the front the elastic intramedullary nail system to improve stability and providing easy of application. Axial and rotational stability are increased by locking with the grooved hill of nail located in the fixing hole in the end part.
Indications
L-TEP is used for intramedullary fixation of diaphyseal and metaphyseal fractures of long bones in children. Indication range of L-TEP varies according to the patient's age, fracture zone, and type of fracture. L-TEP can be used at the long bones of upper and lower extremity (transverse, oblique, spiral short diaphyseal fractures and metaphyseal fractures) for children aged between 3-15 years with intramedullary nailing system.
 
Features
L-TEP is made of titanium alloy and ensures flexible capabilities reverted after bending for different degrees. The system is available in two different sets of nails located; 2.0-2.5-3.0-3.5 mm a set of small nails, major ones 4.0-5.0 mm. Straight and front slope nails are placed in the set having lengths of 200-250-300-350 and 400 mm.
It is designed inclined both end parts of the front beveled to provide easy application and comfortable detection interior through broken line in order to improve stability. It is formed as bayonet type by giving 315 mm radius to its 5 cm end of the beveled nails for metaphyseal fixation. 14° slope is given at the 5.5 cm section of the nail placed at the end. In the final part of the nails, 20° angled screw holes are available to lock screws. As two locking screw holes place in the major nails (4.0 mm, 5.0 mm) as the others (2.0-2.5-3.0-3.5 mm) have just one hole for the locking screw. These two screw holes placed at the end of the major nails are designed 10° to each other to provide fixation of screws.
Fixation of diaphyseal fractures including the narrow medullary canal, L-TEP provides advantages according to flexibility in comparison to the other nails. The significant feature of the L-TEP is resolving/minimizing of migration and irritation problems occurring frequently in the TEN applications with increasing stability.
Another advantage offered by the system is no need to form the nails during the operation with the previously shaped nails. This advantage significantly shortens the operation time. It is important that there is also the straight form of nails in the set container allowing the user bending or curving the L-TEP according to operation requirements.
There are two different types of this special curved L-TEP as lateral and medial, as known elastic nails are generally applied in pairs. Lateral nail placed in the set container is used in the double nailing application by fixing the nails opposite direction (medial & lateral) to each other. Medial nails are designed with diameters of 3.5 mm and 4.0 mm according to these requirements. Fixation direction of the end point in the metaphysis is designed to reach to medial cortex despite the entrance from lateral of the other nail as the first one entered from the lateral reaches to lateral cortex.

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