| Intramedullary fixation has greatly enhanced the stabilization
of difficult tibial fractures. Stable diaphysial fractures
that are transverse of short oblique can be treated with
conventional (non-locking) technique. Spiral fractures,
diaphysial fractures that are unstable (segmental, comminuted,
bone loss) and rotationally unstable proximal and distal
fractures can be treated with locking techniques. All
unstable fractures should be locked proximally and distally
to control shortening and rotation. Some cases of tibial
non-union, malunion and metastatic disease can be addressed
with locking technique.
This Tibial nail primarily indicated in the treatment
of unstable fractures with proximal and/or distal interlocking
screw fixation, tibial non-union, and metastatic disease.
The 8mm (Solid), 9mm (Solid) and 10mm (Cannulated) nails
provide the option of reamed or unreamed insertion as
an alternative to external fixation. These nails can
be used in both open fractures with adequate soft tissue
coverage and in closed fractures requiring fasiotomy
for compartment syndrome. |
