Intramedullary Nail Fixation - All You Need to Know

Intramedullary nailing is a type of surgery that repairs broken or diseased bones to keep them stable and help facilitate fusion. In this surgery, a permanent nail, i.e., an intramedullary nail or a rod is placed in the centre of the bone, so it would enable you to put weight on the bone. Typically this bone fixation procedure is carried out mostly in the Femur, Tibia, hip, and Humerus.

Intramedullary Nail

Evolution of Hindfoot Fusion Intramedullary Nail Fixation

During the 1st generation of hindfoot fusion nailing surgery, there was no application of compression; instead, the nails were locked into the bone with screws. The 2nd generation nail fixation applied external manual compression through the frame. 3rd generation introduced internal compression by using an internal screw to press against the calcaneal screw. However with all these earlier generation nails, the bones are able to retain compression after the instruments are removed but would lose compression upon any bone resorption or settling.

What should you know about the surgery? 

  •  Preparation of the surgery

Consult with your physician to know about how you should prepare for the intramedullary nailing surgery. The physician will inform you which medications you should consume before the surgery. You might also get antibiotics through IV to prevent any bacterial infection.

  • The surgery’s working procedure

You will be given anaesthesia prior to the surgery to keep you from pain during the surgical procedure. Typically the surgery requires creating small incisions in your skin. The surgeon puts a guidewire through the incision through the centre of the bone, and then drills to make space for the nail implant.

After aligning the intended bones to be stabilized or fused, the intramedullary nail is inserted into the hollow area of the bones. Then the screws are locked on both ends of the nail to lock into place. For completion, the incisions are closed off with stitches or staples.

Contact MedShape Inc. to know more information about Intramedullary bone fixation.

Original Source: Intramedullary Nail Fixation - All You Need to Know

Location: Atlanta, GA, USA

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