Overview of Intramedullary Nailing
Intramedullary nailing is a surgical technique used to treat fractures of long bones such as the femur, tibia, or humerus. A sturdy metal rod is placed inside the bone’s central canal to align and stabilize the broken bone. This method helps healing and allows early movement in many cases.
How Intramedullary Nailing Is Performed and Supported by Surgical Tools?
The procedure is done under general or regional anesthesia using fluoroscopic X-ray guidance to ensure correct alignment. The surgeon begins by inserting a guidewire through a small incision into the marrow canal of the fractured bone. If needed, surgeons use reamers to enlarge the canal before inserting the nail. Once the nail is placed, locking screws are inserted proximally and distally to fix it securely. Instruments like insertion handles, targeting devices, reamers, guidewires, drills, and locking screws are essential throughout the operation. This stabilizes the bone internally and minimizes soft tissue damage, promoting faster recovery.
Clinical Indications
- To stabilize diaphyseal fractures of long bones (e.g., femur, tibia, humerus)
- In complex fractures such as comminuted, segmental, or displaced injuries
- For fractures due to osteoporosis or pathological conditions
- When non-surgical treatment fails or is impractical for healing
- To allow early weight-bearing and mobility, especially in lower limbs
Implants and Instruments Used
- Intramedullary Nails (femoral, tibial, humeral types)
- Locking Screws / Bolts
- Guidewires (ball-tipped or cannulated)
- Canal Reamers
- Insertion Handle / Nail Driver
- Targeting (Aiming) Device
- Cannulated Drill Bits
- Bone Tap Instruments
- Nail Extraction Tools
- Reduction Aids (e.g. percutaneous joysticks, Schanz screws)
Global Leaders in This Surgery
- United States
- Germany
- India
- China
- Brazil
Why Surgeons Prefer This Method
- High mechanical stability across fracture site
- Minimal soft tissue disruption and preservation of blood supply
- Strong axial, rotational, and length stability via locked fixation
- Enables early mobilization and shorter hospital stays
- Reduced risk of nonunion or malalignment
- Lower infection risk compared with external fixation
- Supports faster functional recovery and physical rehabilitation
Advin Health Care is a leading manufacturer and exporter of orthopedic implants and instruments, including stainless steel and titanium products designed for surgeries like intramedullary nailing. Advin is committed to global quality standards (ISO, CE, WHO-GMP) and serves partners in over 85 countries, with its manufacturing units based in Ahmedabad, Gujarat, India
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+91 98989 50530 | ortho@advinhealthcare.com | www.advinortho.com