What is a tibial nail made of?
The tibial nails are made of implant steel (ISO 5832-1) or titanium alloy Ti6Al4V (ISO 5832–3).
What is expert nail?
The Expert Tibial Nail permits an intra medullary approach for the fixation of proximal, shaft and distal fractures of the tibia. The system consists of a series of cannulated nails, can- nulated end caps, dual core locking screws and standard locking screws.
What is the tibia nail?
Intramedullary nailing is the most popular and widely used method for treating tibial shaft fractures. Intramedullary nailing involves minimal surgical dissection, allowing preservation of blood supply by not disrupting the soft tissue around the fracture.
What is Herzog Bend?
The tibial nail has a bend one-third of the length of the nail so that the nail can be inserted from a point on the anterior surface of the tibia behind and slightly to one side of the patellar tendon. It is called Herzog’s notch or bend.
How long after tibia nail surgery can I walk?
Do not engage in prolonged periods of standing or walking during the first 7-10 days after surgery. Avoid long periods of sitting (without leg elevated) or long distance traveling for 2 weeks.
Is tibial nail permanent?
Results:Out of 48 patients operated, 43 (89.58%) tibial intramedullary nail were removed over a period of 5 years. Out of 23 patient insisting nail removals due to anterior knee pain only 21 nails were removed and 19 patients who requested nail removal only 16 nails could be removed.
What is a reamed nail?
Reamed nailing was defined as insertion of the largest possible intramedullary nail after canal preparation by progressive reaming of the medullary canal until cortical chatter. Unreamed nailing was defined as insertion of a best-fit intramedullary nail, without any preparation of the medullary canal.
What is shin bone?
The tibia is the shinbone, the larger of the two bones in the lower leg. The top of the tibia connects to the knee joint and the bottom connects to the ankle joint. Although this bone carries the majority of the body’s weight, it still needs the support of the fibula.
How is a tibial nail inserted?
Upon successful completion of the fracture reduction, the intramedullary cavity is prepared for the placement of the tibial nail. A ball-tipped guide wire is typically inserted into the tibial canal and across the fracture site. The reamers as well as the tibial nail are passed over the ball-tipped guide wire.
What is nailing in Ortho?
Intramedullary nailing is surgery to repair a broken bone and keep it stable. The most common bones fixed by this procedure are the thigh, shin, hip, and upper arm. A permanent nail or rod is placed into the center of the bone.
Can a tibial nail bend?
Different tibial intramedullary nails have the necessary bend (Herzog curve) at different points along their length. Maintaining this curve proximal to the fracture will minimize the deforming forces.
How long will I be on crutches after tibia surgery?
Any time a bone is broken we have to remove pressure on that bone to allow it to heal. This contributes to the prolonged healing time and requires a period of about 6 weeks where no weight is put on that leg.
Can you walk on a broken tibia after 4 weeks?
If you did not have surgery for your tibial plateau fracture, you can start walking safely with a knee brace in 4-6 weeks.
When should tibia nails be removed?
Conclusions:We conclude that removal of tibia nail should be done if patient complaints of pain. Radiographs must be assessed for fracture union and patient must be warned about the complications associated with the hardware removal.
Is IM nailing an open procedure?
Conclusions: Open method of locked intramedullary nailing achieves satisfactory results when used for the management of long bone fractures. The method can be used for segmental fractures of the humerus, femur, and tibia, with high union rates.
What is intramedullary reaming?
The stabilization of long bone fractures through reaming the medullary cavity and insertion of an intramedullary nail, with or without locking bolts, was a standard procedure in fracture treatment for a long time. With the development of nails, which can be applied without reaming, the procedure lost importance.
How long after tibia surgery can I walk?
If you had surgery for your tibial plateau fracture, you can put a little bit of weight on the leg after 6 weeks with the goal of walking normally by the 10th week. If you did not have surgery for your tibial plateau fracture, you can start walking safely with a knee brace in 4-6 weeks.
Which is the strongest bone in our human body?
The femur
The femur is one of the most well-described bones of the human skeleton in fields ranging from clinical anatomy to forensic medicine. Because it is the longest and strongest bone in the human body, and thus, one of the most well-preserved in skeletal remains, it makes the greatest contribution to archaeology.
How long is tibia surgery?
Surgery usually takes 1 to 2 hours. Most patients are admitted overnight after tibial nailing procedures to watch for any breathing problems or development of compartment syndrome.
Is rod in leg permanent?
Once the bone has fully healed, the rod/nail no longer serves a purpose and may be removed. This is typically done a year after the original surgery and can be an outpatient procedure (i.e., the patient does not stay in the hospital overnight after surgery).
Which rod is used in fracture?
Intramedullary (IM) rods are used to align and stabilize fractures. IM rods are inserted into the bone marrow canal in the center of the long bones of the extremities. They may be used in the femur (thigh bone) or tibia (shin bone), for example. They are also called intramedullary nails.
How many days after tibia surgery can I walk?
When can I drive after tibia surgery?
Based on these studies, a reasonable compromise is to recommend our patients to resume driving at 6 weeks after total knee replacement, regardless of which side was operated upon.
What is the fastest way to heal a broken tibia?
How to heal a bone fracture as fast as possible
- Fracture management – Including closed reduction (bone alignment through manipulation or traction), immobilization (using a splint or cast) and rehabilitation (physical therapy)
- Physical therapy – To regain strength and normal function in the affected area.
Is a broken tibia serious?
A broken tibia-fibula is a fracture in the lower leg that happens when a fall or blow places more pressure on the bones than they can withstand. A tibia-fibula fracture is a serious injury that requires prompt immediate medical attention. With timely and proper treatment, a broken tibia-fibula can heal completely.