Intertan speakers for sale
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- Intertan S.A.
- How many RadioShack stores are still open 2019?
- InterTan: “number of formal proposals” to buy The Source by Circuit City
- RadioShack
- Audio and Video for sale in East Sussex - Classifieds
- The Sustainability Trail
- Vintage Radio Shack/Realistic Speakers?
- The Best Speaker Cable
- "optimus speakers" in Classifieds in Ontario
Intertan S.A.
Patient Safety in Surgery volume 12 , Article number: 31 Cite this article. Metrics details. Recent advances have led to the design of a new cephalomedullary nail, which aims to decrease the risk of failures in patients with intertrochanteric hip fractures by allowing for insertion of two interdigitating screws into the head segment. The goal of this study is to evaluate the safety and efficacy of this two-screw cephalomedullary nailing system. Patients 18 years of age and older who underwent intramedullary nailing of their intertrochanteric femoral fracture using the InterTAN nailing system Smith and Nephew, Memphis, TN from to were included in this retrospective study which was performed at two urban certified level-1 trauma centers and one urban certified level-3 trauma center.
The study data was collected through a retrospective chart review and review of the existing radiographic studies. Primary outcome measure was mechanical hardware failure and screw cutout. Secondary outcome measures included nonunion, malunion, medical and surgical complications. A total of patients were included in this analysis. Two patients 0. Other implant-related complications occurred in 19 cases 7. There was a total of 10 3. This modified cephalomedullary nail is a reliable, safe, and effective implant for management of intertrochanteric hip fractures.
Surgical treatment of patients with intertrochanteric hip fractures can be performed in a safe fashion using this implant. Intertrochanteric fractures account for a vast majority of hip fractures in the elderly population [ 1 , 2 , 3 , 4 , 5 , 6 ]. Several surgical options, such as the sliding hip compression screw, intramedullary nail, and arthroplasty, exist for the management of these fractures [ 7 ].
Due to relative ease of use and favorable clinical outcomes, cephalomedullary nailing has become one of the most common means of hip fixation in the United States [ 1 , 8 ]. However, complications do arise after implantation of these nails, including mechanical failure, screw cut out, varus collapse, shortening of the femoral neck, and peri-implant femoral shaft fractures around the distal tip of the implant [ 9 ].
Recently, a new two-screw cephalomedullary nail with integrated interlocking lag and compression screws was designed to minimize these complications and to improve patient safety in surgery. In contrast to many available chephalomedullary nailing systems, this modified cephalomedullary nail provides a fixation construct with two integrated interlocking lag and compression screws and a trapezoidal nail profile designed to optimize stability [ 10 ].
Thus, the insertion of a lag screw combined with an interdigitated compression screws may potentially minimize the risk of screw cut out from the head segment by providing immediate intraoperative linear compression, improved rotational stability, and increased bony purchase within the femoral head. The interdigitating screw insertion further allows for minimizing the risk of the reported Z-effect, which has been described as lateral and medial migration of the superior and inferior screws respectively [ 11 ].
The benefit for patient safety of this two-screw cephalomedullary nailing system requires further clinical investigations. The principal goal of this study was to examine the mechanical failure rates and to determine the safety and efficacy of this cephalomedullary nailing system.
We hypothesize that the mechanical failure rates associated with this nailing system compare favorably with the results of other cephalomedullary nailing systems reported in the literature. This was a retrospective study that was performed at two urban certified level-1 trauma centers and one urban certified level-3 trauma center. Patients were identified through the coding database of our institution. Patients 18 years of age and older who underwent nail fixation of their acute intertrochanteric femoral fracture using the InterTAN cephalomedullary nail Smith and Nephew, Memphis, TN between and were included in this investigation.
Intertrochanteric fractures treated with sliding hip compression screws, arthroplasty, or other nailing systems were excluded from this study. All patients included in this study underwent cephalomedullary nailing using the InterTAN. The surgical technique was according to widely established recommendations as described in the literature and according to manufacturer guidelines [ 10 , 13 , 14 , 15 , 16 , 17 ]. In brief, the patient is placed on a standard fracture table to allow for application of traction and appropriate fracture reduction Fig.
An approximately 3—4 cm surgical incision is made approximately 3 fingerbreadths proximal to the greater trochanter. The fascia is incised and a 3. Following appropriate guide pin placement, the canal is opened with an entry reamer and a ball-tipped guide-wire is placed into the femoral canal.
We recommend reaming the femoral canal for appropriate preparation of the nail insertion. Once the diameter and length of the nail has been determined, the nail is assembled with the drill guide, and advanced into the femoral canal. Following nail insertion, the appropriate depth and alignment is confirmed on both AP and lateral fluoroscopic views of the hip. The lag screw position is planned with a 3. Then a 7- mm drill is inserted through the aiming jig to drill for the compression screw just below the lag screw.
Afterwards, an anti-rotation bar is placed into the drill hole for the compression screw in order to avoid spinning of the head segment during insertion of the lag screw Fig. The lag screw is drilled over the guide pin Fig. The compression screw is placed providing linear compression across the fracture site and additional stability by interdigitation with the lag screw Fig. It is recommended to release the traction during insertion of the compression screw in order to allow for appropriate linear compression.
Additional stability can be achieved by insertion of a distal interlocking screw and by tightening down the proximal set screw Fig. Appropriate fracture reduction and implant position is confirmed on final AP and lateral fluoroscopic views Fig. The wounds are closed in a standard fashion. The procedure can usually be performed in a minimal invasive fashion through three relatively small incisions Fig.
Additional safety features of this nailing system include a trapezoidal shape in the proximal portion providing rotational stability, press-fit in the metaphyseal region, and distribution of tensile forces. In addition, the clothespin distal tip is less rigid to decrease the stress riser, potentially reducing the incidence of periprosthetic fractures and anterior thigh pain Fig. Unstable intertrochanteric femur fracture with lateral wall involvement 1 a - b.
Sterile preparation of patient on fracture table with incision marked approximately three fingerbreadths above the greater trochanter 1 c. Starting point at greater trochanter as demonstrated on AP 2 a - b and lateral view 2 c - d. Additional stability by distal interlocking screw 8 a. Side view of the nail and AP fluoroscopic picture before 8 b - c and after 8 d - e tightening down the set screw.
InterTAN nail construct front view 11 a and lateral view 11 b showing trapezoidal proximal nail profile. Clothespin distal tip seen on lateral view of the nail 11 b lateral fluoroscopic image 11 c. Patients were considered as incomplete follow-up if clinical and radiographic outcome data was not available for a minimum of 12 weeks after surgery. Technical data on the fixation construct and the mechanical failures were collected from the postoperative radiographs.
Radiographic data recorded included the nail size short vs. The primary outcome measures were mechanical hardware failure and proximal screw cutout.
Secondary outcome measures included nonunion, as defined by the need for re-operation to achieve fracture healing, malunion, varus collapse defined as ten degrees of radiographic varus from index surgery , surgical complications, and postoperative medical complications, such as thromboembolic events, pneumonia, urinary infection, myocardial infarction, and death. Descriptive statistics were recorded for patients, who completed their minimum twelve weeks follow-up appointment.
Given the relatively small number of events encountered for our main outcome measure mechanical implant failure , no comparisons between the mechanical failure group and the non-mechanical failure group was performed. All continuous variables were tested for normal distribution.
Normally distributed data was reported as means with standard deviation SD. Not normally distributed data was reported as median with range.
Based on the Current Procedural Terminology CPT code , a total of patients were screened for participation in this study. One hundred seventy-three patients did not meet the inclusion criteria. A total of 74 patients were screen failures including duplicates, coding errors, and non-identifiable patients.
Thus, a total of patients were enrolled in this study. None of the patients with incomplete week follow-up data was found to have any signs of mechanical hardware failure at their latest follow-up appointment.
The outcome data reported herein are based on patients with complete follow-up data. The demographic and clinical data of these patients are listed in Table 1 and Table 2 , respectively. The initial surgeries were performed between and The nails of patients Additionally, immediate postoperative imaging showed an average tip-apex distance of The mean estimated blood loss was With regards to the primary outcome measure of mechanical hardware failure and screw cutout, we encountered a total of two screw cut outs among the patients 0.
In one case of screw cut out, the implant was a long nail with one distal interlocking screw. The patient had an immediate post-operative neck-shaft angle of degrees and a tip-apex distance of 6. Upon follow up, non-union and varus collapse of 14 degrees was recorded. The patient underwent removal of hardware and total hip arthroplasty.
The other screw cut out occurred in a patient with pre-existing avascular necrosis of the femoral head and, subsequently, underwent hardware removal and total hip arthroplasty at approximately 6 weeks postoperative. Regarding the nail construct, the immediate postoperative tip-apex distance was The implant was a short nail with one distal locking screw. In addition, removal of symptomatic hardware was required in three patients 1.
As for other secondary outcomes, two patients 0. They subsequently went to bony union at their final follow-up. There were 30 Postoperative medical complications Three patients with deep wound infections were treated successfully with operative irrigation and debridements in addition to intravenous antibiotics while one patient had to undergo hardware removal.
The six patients with superficial wound infections were successfully treated with oral antibiotics resulting in resolution of their symptoms. Data pertaining to complications is listed in Table 3. The incidence of hip fractures, such as intertrochanteric femoral fractures, is expected to double in the next 25 years due to the higher life expectancy of the population [ 18 , 19 , 20 , 21 ]. Because most of these patients will be elderly, operative management should consist of a stable construct performed in a timely manner to decrease both surgical and medical complications.
Currently, several fixation techniques for these fractures consist of intramedullary nails, dynamic hip screws, or arthroplasty [ 7 , 22 ]. The results of our retrospective study confirmed our hypothesis that this innovative two-screw cephalomedullary nail is a safe and reliable nailing system for the treatment of patients with intertrochanteric femoral fractures. In our series of patients, we observed only two screw cut outs 0.
Our mechanical failures of this study must be interpreted in the context of the patient demographics.

How many RadioShack stores are still open 2019?
By customsteve01 , December 24, in General Klipsch Info. I was in a national home entertainment store not saying the name, you can fuigure it out on Dec. They don't carry the Klipsch line anymore, but they used to. I bought all of mine from them years ago.
InterTan: “number of formal proposals” to buy The Source by Circuit City
David, aka Grumpy, needs our help. Great news. David is home! It was quite the ordeal to get him home and into the house, but it is done. Thank you to everyone for their support. Now a long road ahead to get him back on his feet and functioning normally. I have started a GoFundMe to help with the medical bills. Please help, if you can.
RadioShack

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Audio and Video for sale in East Sussex - Classifieds
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The Sustainability Trail
This auction is for a Realistic MPA public address amplifier. I bought this unit from Tandy in Kilburn, north London, in around and it has been a useful little amp over the years, having been used in talkback systems, for announcements to contestants on reality TV shows, various small PAs and background music installs, and even on a milk float with Father Christmas! There is then a tone control and an overall level control. On the back are speaker terminals for various output impedances. It also has a 70volt line constant voltage output for connecting speakers with transformers.
Vintage Radio Shack/Realistic Speakers?
After closing another 1, stores since Memorial Day weekend, there are now just 72 company-owned RadioShack stores left. The chain electronics store had a liquidation sale over the weekend and will also leave dealer-owned stores open, according to USA Today. Newegg and Tiger Direct happen to be one of the stiffest competitors when it comes to stores like Radio Shack for all gadget lovers. The Source is a unit of Canada Inc.
The Best Speaker Cable
RELATED VIDEO: Best Wireless Multi Room Speakers in 2021 - How to Choose Speakers for a Multi Room Sound Setup?Our research shows there really is no best speaker cable. I base this on extensive research on available cables and actual listening tests. The offers excellent value, solid construction, and, perhaps most importantly and surprisingly , better sound quality. But keep in mind that this is the least important piece of gear in your entire home theater setup and the impact it makes is negligible. This well-made, affordable speaker wire, in a gauge that's suited to a wide range of speaker binding posts, will satisfy casual and critical listeners alike. For most of us, the Monoprice gauge is a great deal on a sturdy and widely available cable.
"optimus speakers" in Classifieds in Ontario
Radio Shack Huge US based chain of stores, also distributes a range of products under their own name in addition to audio and AV products under the Accurian brandname. They do however sell wall plate connectors and audio accessories under their own Melodika brand and also distribute a number of brands locally including Fatman , Lindy , Monkey Ltd. Audio Salon RMS, ul. Handlowa 7, Bialystok, Poland. Radius Japanese manufacturer of blank optical media.
User Name Remember Me? Mach Speakers - Picked up a cheap set today. I didn't need these, and my Mach One build having stalled due to its high price, I picked up a set of cheap Mach speakers today. In pretty good shape for the age.
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