Femoral Reconstruction Nail Specification, Uses, Sizes and Surgical Techniques

Femoral Reconstruction Nail is designed to help treat various fractures of the femur. Different nails are available to be placed through the tip of the Greater Trochanter. Screws are placed through the nail to secure the implant in place and maintain length and alignment while healing occurs. The nails have multiple screw holes in the proximal body to allow surgeons to address different fracture types. Proximal and distal slots allow for compression or dynamization across a fracture.

Femoral Reconstruction nail

Femoral Reconstruction Nail Introduction

Femoral Reconstruction Nail System offers an extensive range of surgical entry points and locking options to meet more surgeons’ needs for femoral shaft fractures.

Designed for anatomical fit

Nail designed to better fit patient anatomy and help avoid impinging anterior cortex compared to nails with a larger radius of curvature.

Reduced procedural complexity

Femoral Reconstruction Nail instrumentation includes features designed to reduce surgical complexity facilitating intraoperative visualization, implant positioning and alignment as well as ease of use for OR staff.

Proximal locking options

Choice of standard and reconstruction locking modes allows for the treatment of a variety of femoral fracture patterns and locations.

Distal locking options

Equipped with four distal locking options, including an oblique distal hole to better target bone in the condyles and an A/P hole that provides an optional purchase point.

Entry point selection

Greater Trochanter and Piriformis Fossa entry point nail designs to accommodate varying patient anatomies and surgeon preference.

Femoral Reconstruction Nail Specification

Advanced nail design

  • Femoral Reconstruction Nail design offers great flexibility
  • Different Nails for left and right femur
  • Anatomic bend for ease in insertion and extraction
  • Cannulation of all nails for guided insertion in reamed and unreamed technique
  • Large portfolio with nail diameters ranging from Dia 9 to 14 mm and lengths ranging from 280 to 460 mm
  • Versatile locking configuration for static, dynamic and standard locking
  • Femoral Reconstruction Nail available in Titanium and SS 316L

Unique distal locking options

The unique distal combination hole enables the optimal locking for every anatomical situation and fracture type. The surgeon can use standard locking (with two locking screws). The end cap allows for angular stable locking of the most distal locking implant in both configurations.

End caps

  • Self-retaining Screw driver for effortless and secure end cap pick-up and insertion
  • Possibility to block most proximal locking screw  for absolute angular stability
  • End cap prevents ingrowth of tissue and facilitates nail removal

Locking screws

  • The 6.4 mm Cannulated Lag Screws have a unique thread design that provide an excellent grip. Improved front cutting flutes allow for lesser insertion torque and thinner flanks for less bone removal.
  • Secure placement of the Lag Screws within small neck diameters can be achieved due to separating the two 6.4 mm lag screws and distance between the 6.4 mm Lag screws.
  • The distal locking configuration features a round and an oblong hole to allow for static and / or dynamic distal locking.
  • 5 mm cortical screws, common to the Femoral Reconstruction Nails, are designed to simplify the surgical procedure and promote a minimally invasive approach.
  • Self-holding Screw driver for effortless and secure locking screw pick-up.
  • Double thread for more contact points leading to enhanced stability
  • Larger cross-section for improved mechanical resistance
  • Thread closer to screw head providing better bone purchase and improved stability
  • Self-holding Screw driver for effortless and secure locking screw pick-up

Femoral Reconstruction Nail Uses

Femoral Reconstruction Nail System is intended for treatment of fractures in adults and adolescents in which the growth plates have fused. Specifically, the system is indicated for:

  • Subtrochanteric fractures
  • Ipsilateral neck/shaft fractures
  • Femoral shaft fractures
  • Impending pathologic fractures
  • Malunions and nonunions

Femoral Reconstruction Nail Uses

Femoral Reconstruction Nail Contraindications

The physician’s education, training and professional judgement must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include:

  • Any active or suspected latent infection or marked local inflammation in or about the affected area.
  • Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site.
  • Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices.
  • Material sensitivity, documented or suspected.
  • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to
    failure of the device itself.
  • Patients having inadequate tissue coverage over the operative site.
  • Implant utilization that would interfere with anatomical structures or physiological performance.
  • Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care.
  • Other medical or surgical conditions which would preclude the potential benefit of surgery.

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More Products from Interlocking Nails

What is a femoral shaft fracture?

A femoral shaft fracture is a break of the femur (thighbone). Femoral nailing is an operation to fix a broken femur using a metal rod. The metal rod is called a femoral nail (also called an intramedullary or interlocking nail)

Your surgeon has recommended femoral nailing to treat your broken femur. However, it is your decision to go ahead with the operation or not. This document will give you information about the benefits and risks to help you make an informed decision. If you have any questions that this
document does not answer, you should ask your surgeon or any member of the healthcare team.

How does a femoral shaft fracture happen?

Road accidents and sport are the cause of most femoral shaft fractures. You can lose up to a litre (about two pints) of blood into the thigh muscle at the time of the injury. Sometimes the injury causes the bone to break through the skin. This is known as an open or compound fracture.

What are the benefits of surgery?

The main benefits of surgery are that you will only need a short stay in hospital and you will be able to use your leg sooner. Surgery will also make sure your bone heals in a good position.

Are there any alternatives to femoral nailing?

A femoral shaft fracture can be treated in traction (using a heavy weight fixed to the leg to pull the bones into position until they heal). However, some fractures are difficult to hold in a good position without surgery. If you have an open fracture, you will almost certainly need an operation. Your surgeon can sometimes fix your femoral shaft fracture with an external fixator or a plate and screws instead of a femoral nail. They will explain why they recommend femoral nailing for your fracture.

What will happen if I decide not to have the operation?

You will have your leg in traction. You may need to stay in hospital for a long time. This can lead to complications such as blood clots, chest infection and pressure sores. After a number of weeks, your leg may be put into a large plaster cast (called a hip spica) or a brace. The fracture will take about three to six months to heal. You will need physiotherapy to learn to walk again because your muscles will have become weak after spending such a long time in bed.

What does the operation involve?

The healthcare team will carry out a number of checks to make sure you have the operation you came in for and on the correct side. You can help by confirming to your surgeon and the healthcare team your name and the operation you are having.

A variety of anaesthetic techniques is possible. Your anaesthetist will discuss the options with you and recommend the best form of anaesthesia for you. You may also have injections of local anaesthetic to help with the pain after surgery. You may be given antibiotics during the operation to reduce the risk of infection. The operation usually takes between an hour and an hour and a half.

Your surgeon will push the femoral nail down the inside of the bone, either through a cut on the side of the hip or on the front of the knee. The nail goes across the break and holds it in position. The nail is held in the bone by locking screws that pass through holes in the nail. If you have an open fracture, your surgeon will clean the skin wound thoroughly during the operation to reduce the risk of infection. If the skin is badly damaged, you may also need one or more plastic surgery operations. At the end of the operation, your surgeon will close the skin with stitches or clips.

What should I do about my medication?

You should let your doctor know about all the medication you are on and follow their advice. This includes herbal remedies and medication to control diabetes and blood pressure. If you are on beta-blockers, you should continue to take them as normal. You may need to stop taking warfarin or clopidogrel before your operation. Anti-inflammatory painkillers may stop the fracture healing properly, so it is better not to
take these if possible.

What can I do to help make the operation a success?

If you smoke, stopping smoking may reduce your chances of getting complications and will improve your long-term health. Nicotine is known to stop fractures from healing. Regular exercise should help you recover and improve your long-term health. Before you start exercising, ask a member of the healthcare team or your GP for advice. You can reduce your risk of infection in a surgical wound by keeping warm around the time of your operation. Let a member of the healthcare team know if you are cold.