Tibial (Tibia) Nail Specification, Uses, Sizes and Surgical Techniques.

Tibial (Tibia) Nail System offers the competitive advantages of:

Not limiting the approach to a certain nailing technique.
Accommodating reamed or unreamed procedures.
Providing locking options for all types of fractures, plus the Advanced Locking Mode for increased rotational stability. Through the development of a common, streamlined and intuitive surgical approach, both in principle and in detail, Tibial (Tibia) Nail System offers significantly increased speed and functionality for the treatment of fractures as well as simplifying the training requirements for all personnel involved.

Tibial (Tibia) Nail

Tibial (Tibia) Nail System is the realization of superior biomechanical intramedullary stabilization using small caliber, strong cannulated implants for internal fixation of long bones.

According to the fracture type, the system offers the option of different locking modes. In addition to static locking, a controlled dynamization with rotational stability is optional.

In some indications, a controlled apposition/compression of bone fragments can be applied by introducing a Compression Screw from the top of the nail. To further increase rotational stability, the nail can be locked statically after using the controlled dynamization and apposition/compression option. The Compression Screw is pushed against the proximal Partially Threaded Locking Screw that has been placed in the oblong hole, drawing the distal segment towards the fracture site. In stable fractures, this has the biomechanical advantage of creating active circumferential compression to the fracture site, transferring axial load to the bone, and reducing the function of the nail as a load bearing device.

Common 4.9mm Locking Bolt simplify the surgical procedure and promote a minimally invasive approach. Fully Threaded Locking Screws are available for regular locking procedures. Partially Threaded Locking Screws (Shaft Screws) are designed for use if apposition/compression is applied.

Tibial (Tibia) Nail Uses

Tibial Nail Uses

Tibial (Tibia) Nail is indicated for:

Open or closed shaft fractures with a very proximal and very distal extent in which locking screw fixation can be obtained
Multi-fragment fractures
Segmental fractures
Proximal or distal non-unions
Proximal or distal mal-unions
Pseudarthrosis
Corrective osteotomies
Pathologic and impending pathologic fractures
Tumor resections
Comminuted fractures with or without bone loss
Primary ankle arthrodesis

Tibial (Tibia) Nail Contraindications

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.