Intramedullary Interlocking Nails
Manage proper fracture fixation with Intramedullary Interlocking NailsTwo of the most important factors to remember for proper healing and recovery of fragmented bones are the immobilization of affected bone and the stability of surrounding tissues. The intramedullary interlocking nails have been created with the same intention. These nailing systems are long implants that can be fitted into the medullary cavity of the fractured area as a stability device that holds the ends of broken parts of the bone. Given their importance in the recovery process, we at Sharma Orthopedic ensure that keen attention is paid to the production of the entire intramedullary nailing system. Moreover, we constantly have our production and highly expert team to fabricate the best orthopedic products with 100% precision and medical-grade material to ensure our clientele’s satisfaction.
Learn About the Intramedullary Interlocking NailsAn intramedullary interlocking nail is a long-form metallic implant. It is a standard treatment for all types of long fractures, metaphyseal or diaphyseal. These intramedullary interlocking nails render the much-needed mechanical fixation to the shaft of the fractured bone. It helps the tissues and bone stay attached to enhance the union of the affected area.
Since its invention in and around the sixteenth century, these intramedullary nail systems have been sifted through innumerable upgrades and advancements. The ones that are created now primarily focus on accelerating the healing process. This is for the patient’s comfort and ability to be back to routine.
Features of Intramedullary Nail System• The IM nails are available in various sizes and shapes based on the fractured bone and pattern of injury. All these nails are used for different locations depending on the severity of trauma.
• The materials used to make these implants are stainless steel 316L, 316LVM, and Titanium.
• There are two types of nails: reamed and unreamed nails. The former requires reaming of the medullary cavity of bone to a certain diameter for insertion of the nail. And, the latter, unreamed nails can be inserted without any reaming, since these are small and flexible to use.
• As the distal femoral interlocking nail stabilizes the joint properly, these are ideal in case of fractures caused near the knee joints.
Uses of Intramedullary Interlocking Nails
The indications of the intramedullary nailing system:
• Metaphyseal and Diaphyseal fracture
• Humeral shaft fracture
• Tibial fracture, including, distal and proximal tibia
• Femoral fracture: proximal femur, distal femur
• Bilateral femoral fracture
• Periprosthetic femoral fracture which is proximal to the total knee replacement implants
Types of Intramedullary Interlocking Nails
• Reconstruction Femoral Nail
• Humerus Nail
• Radius-Ulna Nail
• K Nail Instrument Set
• IMSC Supracondylar Nail
• PFNA Short Gamma Nail
• Supracondylar Nail
• Elegant Multi Locking Tibial Nail
• Left And Right Cannulated Solid Ankle Arthrodesis Nail
• DIMSC Supracondylar Nail
• Cannulated And Solid Universal Tibia Nail
• Elastic Nail
• Long Left And Right Antegrade Femur Nail
• Universal Femur Nail
• Short Antegrade Femur Nail
• Cannulated & Solid Universal Femur Nail
• Cannulated Easy Universal Femur Nail
• Proximal Humerus Nail
• Humerus Nail- (Helical Blade)
• Short Trochanteric Femur Nail
• Subtrochanteric & Trochanteric Nail - PFN
Advantages of Using Intramedullary Interlocking Nails• Since the placement of intramedullary interlocking nails is a closed type of treatment method, it makes it possible for blood to circulate properly to the fractured area and fragmented tissues.
• There is less chance of re-fracture following implant removal. Also, the risks of nonunion of bone and infection are quite low.
• Minimal damage to the surrounding soft tissue during placement of the implant and also includes small incision cuts during surgery.
• This intramedullary nail system provides excellent biomechanical strength to weakened bones.
How to Use Intramedullary Interlocking Nails?This intramedullary nail system contains a long diametrical biocompatible metal rod placed inside the medullary cavity of the broken bone. Once done, it is held at the affected area using the lock bolts which traverse from one cortex of bone to the other with the help of a nail inside the cavity.
The excellent locking property of these intramedullary interlocking nails makes them efficient for all types of long bone fractures. The sturdy build of the lock mitigates unwanted post-operation movement of affected bone by holding together the internal tissues with bolts and nuts.
The intramedullary interlocking nails render rotational, angular, and longitudinal stability to the bone they are inserted into. A broken bone shaft can be displaced in many ways, and hence the nail ensures restricted angulations by keeping the bone axially aligned. In case of a multi-fragmented fracture of the bone, the distal and proximal screws are inserted through the nail to achieve longitudinal stability. The side locking of the nail also prevents rotational movement of the bone.
The healing process is accelerated by the capacity of the intramedullary nailing system to stabilize lengthy bone fractures and the tissues around them. Within a very short time, the patient can resume regular activities.
Precautionary Measures for Intramedullary Interlocking Nails• Ensure to always store these implant systems in the original packaging itself, as it provides a sterile and protective environment. Unless you don’t need to use it, avoid taking the intramedullary interlocking nails out of the packing.
• Always check the expiration date and quality of the orthopedic instrument sets before using them. These implants are single-use devices that are only intended to be used once. Reusing them can compromise the patient’s condition and healing process.
• It is not advised to employ intramedullary nail implants in skeletally immature patients unless specifically indicated in the appropriate surgical procedure. It is necessary to always check through the surgical technique before the insertion of implants in the affected area.
We are consistently engaged in the manufacturing of various orthopedic products including intramedullary interlocking nails, hip prosthesis, bone plates, etc. You can completely trust us with both the quality and desired satisfaction of our products.
Get our product brochure now or contact our experts for any other related queries? FAQs 1. Are the intramedullary interlocking nails a new surgical treatment for fracture repair?The interlocking nails existed in the health sector for years due to their minimal size and excellent healing properties. These do not interfere with the surrounding tissues and provide the needed support to the fractured bone. They have no impact on the blood flow, which is vital for bone repair after fracture.
2. How much time does it take to recover after intramedullary nailing surgery?It can take several weeks to a couple of months to heal properly. Also, the patient must consider going to physical therapy sessions at home as a part of the rehabilitation program.
3. Is using intramedullary interlocking nails better than screws and plates?The positioning of the intramedullary interlocking nail inside the medullary cavity ensures proper stability of the implant while providing resistance to bending forces exerted on it. However, in the case of bone plates, their movement depends on the direction of applied forces. Furthermore, the interlocking nails do not require contouring, as they are properly fitted into the bone cavity, unlike the plates and screws.
4. What is the basic principle of intramedullary nails?As the name suggests, the intramedullary nails are made with the intent to be placed inside the medullary cavity of the fractured bone. These act as a resistant support to the broken bone which deters any further bending forces and deformity.
5. In which conditions it is not recommended to use intramedullary nails?The use of intramedullary interlocking nails is not advised in small medullary canals of bone; deformed structures, such as prior malunion; fracture that is in line with the locking screws; open epiphyseal of bones; and infected fractured wound.
6. Are the interlocking nails safe for the patient undergoing an MRI scan?It is always advised to inform the technician or doctor prior about the placement of an intramedullary interlocking implant. This allows them to take the necessary precautionary steps to avoid any further issues that may occur during the MRI scan.
7. What are the steps of post-operative care after intramedullary nailing surgery?The important steps to follow are pain control using anti-analgesics, mobilization of the affected bone to achieve proper movement, prophylaxis for infection, and recognition of complications, if any.
8. Are there any complications while using an intramedullary nailing system?Although, there are not many people who complain of any issues after the surgery. However, a few cases of complications are rarely reported, such as; implant malposition, nonunion of fracture, soft tissue irritation, displacement of implants, and malfunctioning of orthopedic implant.
9. How is the intramedullary nailing system removed?The removal of implant systems becomes necessary in case it starts irritating the soft tissues around it. The best time for implant removal is at least 10-12 months after the surgery.