The TOOLMED Humeral Intramedullary Nail is a state-of-the-art implant designed for the surgical management of humerus fractures. Unlike external plating, this nail is positioned centrally within the medullary canal, acting as a load-sharing construct that allows for controlled micro-motion to stimulate callus formation. Manufactured from medical-grade Ti-6Al-4V Titanium alloy, the nail features an optimized anatomical design that facilitates easy insertion while minimizing damage to the rotator cuff. The system is equipped with advanced multi-planar locking options at both the proximal and distal ends, providing exceptional rotational stability even in complex comminuted or segmental fractures. Whether treating a midshaft spiral fracture or a pathological fracture due to bone metastasis, the TOOLMED Humeral Nail system provides the mechanical strength and biocompatibility needed to restore upper limb function and improve the patient's quality of life through a minimally invasive technique.
Intramedullary Nail
TOOLMED
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1 Pcs
5-7 days
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Product Description
The nail is designed with a specific entry angle and a low-profile proximal end to minimize irritation to the supraspinatus tendon during insertion and long-term residence.
Features multiple locking holes in different planes to capture fragments in proximal third fractures, ensuring stability in the wider metaphyseal bone.
Utilizes Ti-6Al-4V for an optimal strength-to-weight ratio and a modulus of elasticity that reduces the risk of stress shielding in the humeral cortex.
Available in various diameters and lengths, including short nails for localized fractures and long nails for full-length humeral stabilization.
Indicated for two-part and selected three-part fractures of the proximal humerus. The nail provides internal support for the humeral head, preventing varus collapse in osteoporotic patients.
While specific to the arm, the locking technology used in our humeral system is derived from the same high-performance engineering as our femoral and pelvic systems.
Used for fractures extending into the distal third of the humerus, where the nail's distal locking screws provide stable anchorage above the elbow joint.
The primary indication. Ideal for midshaft transverse, oblique, and segmental fractures, as well as for stabilizing bone following tumor resection or for non-union revisions.

| Product name | Humeral Intramedullary Nail |
| Material | TA3 |
| Diameter | / |
| Length | / |
| Application | / |
| Certificate | CE Certificate |
| Brand | TOOLMED |
| MOQ | 1 Pcs |
| OEM | Avaliable |
| Package | PE Inner Bag+Carton |
| Payment Method | T/T,Bank transfer, Western Union |
| Delivery Time | 5-7 days |
| Shipping | DHL EMS UPS TNT FEDEX |



The Humeral Intramedullary Nail (Titanium) is a specialized internal fixation device used to stabilize fractures of the humerus (upper arm bone). Positioned within the central medullary canal, it acts as a "load-sharing" implant that supports the bone from within. This central alignment allows the nail to withstand significant bending and rotational forces while permitting the bone to bear some weight, which is essential for stimulating the natural healing process. Manufactured from biocompatible Titanium alloy, the nail is secured at both the proximal (top) and distal (bottom) ends with locking screws. These screws ensure the bone fragments do not rotate or shorten, providing the rigid stability required for the formation of a bridging callus.
This system is primarily indicated for fractures of the humeral diaphysis (shaft), particularly those resulting from high-energy trauma or pathological conditions like osteoporosis and bone tumors. It is also an excellent option for "floating elbow" injuries or segmental fractures where multiple areas of the bone are broken. Because the nail is inserted through a small incision at the shoulder (antegrade) or elbow (retrograde), it is highly effective for patients with poor skin quality or those at high risk of infection. Furthermore, it is a preferred choice for revision surgeries where previous plating has failed or resulted in non-union.
The primary advantage of the TOOLMED Humeral Nail is its minimally invasive nature, which preserves the blood supply to the bone and minimizes scarring. The Titanium construction offers superior fatigue resistance compared to stainless steel and is significantly more compatible with post-operative MRI or CT scans. Our nail features an optimized proximal geometry that reduces the risk of impingement on the shoulder joint, a common issue with older designs. Additionally, the system’s advanced targeting instruments allow for precise locking screw placement, reducing surgical time and fluoroscopic exposure for both the patient and the surgical team.
Biomechanically, the humeral nail acts as an internal splint that resists axial, bending, and torsional loads. By occupying the medullary canal, it shares the load with the cortical bone, reducing the "stress shielding" effect that can lead to bone weakening. The system supports "dynamization"—the ability to allow slight axial movement at the fracture site—which has been clinically shown to accelerate bone union by triggering osteoblastic activity. The multi-planar locking screws at the proximal end are specifically designed to provide a "fixed-angle" effect, which is critical for maintaining alignment in fractures of the humeral neck and proximal shaft.
The surgical procedure typically involves an antegrade approach. A small incision is made at the top of the shoulder, and an entry point is created in line with the medullary canal. A guide wire is passed through the fracture site to the distal humerus. The canal may be reamed to ensure a perfect fit for the nail. The Titanium nail is then inserted over the guide wire. Using a high-precision proximal targeting jig, locking screws are inserted to secure the top of the nail. Distal locking is usually performed using a "free-hand" technique under fluoroscopic guidance. Final radiographic checks confirm the restoration of the bone's anatomical length and rotation.
Postoperative care emphasizes early active-assisted range-of-motion exercises for the shoulder and elbow to prevent joint stiffness (adhesive capsulitis). For the hospital, the maintenance of the humeral instrument set is vital. Targeting jigs and screwdrivers must be inspected for alignment and wear. Titanium nails are single-use devices and must never be re-used. All instruments should be cleaned and sterilized using a standard steam autoclave at 134°C. Radiographic follow-up is scheduled at regular intervals to monitor bone healing. The nail is generally intended for permanent implantation, but if removal is required after full union, it can be extracted using our dedicated removal tools.
The TOOLMED Humeral Intramedullary Nail (Titanium) combines anatomical precision with mechanical durability. Its load-sharing design and minimally invasive application make it the definitive choice for surgeons treating complex humeral trauma while prioritizing rapid functional recovery and long-term joint health.
Our nail features a low-profile proximal end and an optimized entry angle to minimize rotator cuff irritation. When seated correctly below the bone surface, the incidence of chronic shoulder pain is significantly reduced compared to older nail designs.
Yes, our long humeral nails feature specialized distal locking holes that are positioned close to the nail tip, providing stable fixation for fractures in the distal third of the humeral shaft.
While unreamed nailing is possible to preserve the endosteal blood supply, light reaming is often recommended to allow for a larger diameter nail, which provides better rotational stability and a more secure fit.
Absolutely. The intramedullary nail is often preferred for elderly patients because it provides a "bridge" through the weak bone, and the locking screws provide much better anchorage than traditional cortical screws in osteoporotic bone.
With our high-precision targeting jigs, a standard humeral nailing procedure can typically be completed in 45 to 90 minutes, depending on the complexity of the fracture and the need for reaming.


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