Product: Standard intramedullary interlocking nail X series

1. Clinical Back Ground

Standard type is usedfor fracture of femoral shaft, in 20mm increments. Choose 4pcs 10646 lockingbolts.

Reconstruction type is used for subtrochantericfracture and ipsilateral fracture of the femoral neck and shaft. Choose 2pcs10633 GAMMA locking screws for proximal end, 2pcs 10646 locking screws fordistal end.

InstrumentSet: 15048-999 Femoral Intramedullary Nail Instrument (Professional X Series)

2. Application

Intramedullary nail fixation remains the treatment of choice for unstable and displaced tibial shaft fractures in the adult [1]. The goals of surgical treatment are to achieve osseous union and to restore length, alignment, and rotation of the fractured tibia. Intramedullary nailing carries the advantage of minimal surgical dissection with appropriate preservation of blood supply to the fracture. Moreover, the surgical implant offers appropriate biomechanical fracture stabilization and acts as a load sharing device allowing for early postoperative mobilization. Recent advances in nail design and reduction techniques have expanded the indications for intramedullary nail fixation to include proximal and distal third tibial fractures.

As of today, intramedullary nail fixation represents a well-described and commonly performed surgical procedure for both the community orthopaedic surgeon as well as the subspecialized orthopaedic trauma surgeon. Despite its popularity, intramedullary nail fixation of displaced tibial shaft fractures remains challenging and is associated with multiple potential pitfalls. The surgical technique continues to evolve and numerous recent investigations have contributed significant advances in this area. The goal of this article is to describe the current concepts of intramedullary nail fixation of tibial shaft fractures and to summarize recent developments in this field.

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