Hip Fracture 
Nailing System

We aren't proven because we have a legacy.

We have a legacy because we are proven.


Cephalomedullary nailing (CMN) system for the treatment of intertrochanteric fractures as well as a wide range of proximal femur fractures and associated femoral shaft fractures.

Gamma4 is a comprehensive femoral intramedullary nailing (IMN) system

The nailing system is the result of over 34 years of continuous innovation and clinical history.

Trochanteric Nail surgical animation

The Gamma4 Trochanteric Nail is a hip fracture solution for fixation of stable and unstable intertrochantric fractures.

Intermediate Nail surgical animation

The Gamma4 Intermediate Nail is a hip fracture solution for fixation of stable and unstable intertrochantric fractures.

Long Nail surgical animation

The Gamma4 Long Nail is a hip fracture solution for stable and unstable intertrochanteric fractures and femoral shaft fractures.



nail design

  • Short, intermediate and long nail options
  • Pre-inserted and cannulated set screw
  • SOMA designed1 
    • Shortened proximal body by 5mm 
    • Chamfered distal tip  
    • 3-degree anterior bend for Long and Intermediate Nails 
    • Length dependent RoC Long Nails 
  • Wide distal diameter range: 
    • 9, 10, 11, 12, 13, & 15mm
  • Lag Screw and RC Lag Screw options
Gamma4 Hip Fracture Nailing System Hip Nails


  • Precision Pin™ ∅3.9mm, has a drill tip with 5mm threads
    • Measure to the tip of Precision Pin™ 
    • With the Precision Pin™ the potential for skiving is reduced by 66% compared to your standard ∅3.2 K-wire2
    • 3.7x more resistant to pullout2
  • Two-piece Targeting Sleeve is designed to provide up to 15mm of compression


SimpliFill (optional)

  • Resorbable, regenerative, bone void filler.  
  • 40% increased cut-out load when used in neighboring voids3
Gamma4 Hip Fracture Nailing System Hip Nail Precision Pin

instrument platform

  • We have a streamlined portfolio where we utilize the existing IMN Basic set
    • All nails have distal targeting
  • Reduced inventory 

  • Lag Screw measurement off Precision SleeveTM 

  • Single Lag Screw Driver
  • Optional Anti-Rotation Clip and sleeve
Gamma4 Hip Fracture Nailing System Hip Nail Instruments
Gamma4 Nailing System resources Discover more about the Gamma4 nailing system by exploring our collection of unique clinical resources including surgical reduction technique, exposure, and product overview videos, brochures, whitepapers, and more.



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Asnis III

Cannulated screw indications within the foot, upper and lower extremities, pelvis and hip.

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T2 Alpha Femur Retrograde

Stryker is a market leader in intramedullary nailing.(6) For decades, we've been creating solutions that improve treatment and set new standards. With the T2 Alpha Femur Retrograde Nailing System, surgeons have an option to treat distal and diaphyseal femoral fractures.

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Omega 3

For treating intertrochanteric fractures.

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