The TOOLMED Tibia Intramedullary Nail is a high-performance orthopedic implant designed for the internal stabilization of fractures of the tibial shaft. Recognizing the unique subcutaneous nature of the tibia, this nail is engineered to be inserted through a minimally invasive incision, preserving the critical periosteal blood supply and reducing the risk of wound complications. Manufactured from medical-grade Ti-6Al-4V Titanium alloy, the nail features a proximal "Herzog Bend" that facilitates easier entry through the tibial tuberosity while avoiding the knee joint's articular surface. The system includes multiple proximal and distal locking options, allowing for multi-planar stabilization of transverse, oblique, and comminuted fractures. With its load-sharing biomechanics and anatomical design, the TOOLMED Tibia Nail promotes early patient mobilization and accelerated functional recovery, making it the premier choice for trauma surgeons worldwide.
Intramedullary Nail
TOOLMED
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1 Pcs
5-7 days
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Product Description
The nail incorporates an 11-degree proximal bend, specifically designed to simplify the entry point and prevent interference with the patellar tendon and knee joint.
Provides high fatigue strength with a modulus of elasticity closer to bone, minimizing the risk of stress shielding and promoting secondary bone healing.
Includes proximal and distal locking holes in various planes to ensure superior rotational stability, even in fractures located near the metaphyseal regions.
The nail is cannulated for insertion over a guide wire, supporting both reamed and unreamed surgical techniques based on the surgeon's preference and patient needs.
The Tibia nail is dedicated to the lower extremity; however, its locking technology shares design DNA with our humeral nailing systems for the upper arm.
While used for the leg, the tibial medullary canal is often accessed in conjunction with pelvic surgery for the harvesting of autologous intramedullary bone graft.
Indicated for fractures extending into the proximal or distal third of the tibia, where the multi-directional locking screws provide stable fixation near the joints.
The primary indication. Used for midshaft transverse, spiral, and comminuted fractures, as well as for the stabilization of non-unions and corrective osteotomies.

| Product name | Tibia 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 Tibia Intramedullary Nail (Titanium) is a state-of-the-art orthopedic fixator used for the internal stabilization of fractures of the tibia. Unlike bone plates which are placed on the outside of the cortex, the nail is inserted into the central medullary canal of the bone. This makes the nail a "load-sharing" implant, distributing weight-bearing forces along the central axis of the leg. Manufactured from medical-grade Titanium alloy, the nail is anatomically shaped with a proximal bend to allow for a safe entry through the tibial plateau area. It is locked into place using transverse screws at the proximal and distal ends, which prevent the bone fragments from rotating or shortening, allowing for stable bone union.
The primary application of this system is the treatment of diaphyseal tibial fractures, which are common in high-energy motor vehicle accidents or falls. It is also highly effective for fractures that occur near the knee or ankle joints (metaphyseal fractures), where specialized locking holes provide the necessary stability in wider parts of the bone. Beyond acute trauma, the Tibia Nail is used to manage non-unions, mal-unions, and to stabilize the bone following corrective osteotomies. Because the procedure is minimally invasive, it is frequently the first choice for treating open fractures, as it minimizes further damage to the already compromised soft tissue of the shin.
The key advantage of the TOOLMED Tibia Nail is its ability to provide rigid internal stabilization while allowing for early functional use of the limb. The Titanium construction is superior to stainless steel due to its lighter weight, better biocompatibility, and lower modulus of elasticity, which promotes the natural formation of a bone callus. The nail’s "Herzog Bend" is a specific advantage that protects the knee's internal structures during insertion. Furthermore, the system is designed with a high degree of modularity, offering multiple screw lengths and nail diameters to ensure a custom fit for every patient, regardless of their bone size or fracture pattern.
Biomechanically, the tibia nail functions as an internal splint that resists bending and shear forces. By sitting in the center of the medullary canal, it has a lower mechanical "lever arm" than a plate, making it highly resistant to fatigue failure. The system allows for both static and dynamic locking. Static locking uses screws to fix the nail completely to the bone, which is essential for unstable or comminuted fractures. Dynamic locking allows for a controlled amount of axial movement; this movement stimulates the fracture site under weight-bearing, which is a powerful trigger for bone regeneration and the formation of primary bridging callus.
The surgical procedure involves making a small incision either through or adjacent to the patellar tendon. A guide wire is inserted into the tibial canal and passed across the fracture site under fluoroscopic guidance. If a reamed technique is chosen, the canal is widened slightly using flexible reamers to increase the contact area between the nail and the bone. The Titanium nail is then advanced over the guide wire. Using an external targeting jig, locking screws are inserted into the proximal and distal portions of the nail. The entire procedure is performed with frequent X-ray checks to ensure that the anatomical length and rotational alignment of the leg are perfectly restored.
Postoperative care focuses on early knee and ankle range-of-motion exercises to prevent stiffness. For the surgical facility, the maintenance of the Tibia Nail instrument set is vital. All targeting jigs, guide wires, and reamers must be cleaned of all bone debris and inspected for calibration. Titanium nails are strictly single-use implants; once they have been inserted into a canal, they must never be re-used. The instrument tray should be sterilized using a standard steam autoclave at 134°C. Regular follow-up X-rays are required at 6, 12, and 24 weeks to monitor the progress of bone healing and to ensure the locking screws remain securely in place.
The TOOLMED Tibia Intramedullary Nail (Titanium) offers the perfect balance of surgical ease and mechanical stability. Its anatomical design and advanced Titanium construction make it the definitive choice for trauma surgeons looking to achieve rapid, stable bone healing while protecting the delicate soft tissues of the lower leg.
Yes, our system features specialized distal locking holes that are positioned very close to the tip of the nail, allowing for stable fixation in fractures of the distal tibial metaphysis.
Reaming allows for a thicker, stronger nail and provides local bone graft to the fracture site, which often leads to faster healing. Unreamed nails are typically reserved for patients where protecting the endosteal blood supply is the absolute priority.
The proximal end of the nail is designed to be seated slightly below the bone surface. This "low-profile" design, combined with our anatomical bend, significantly reduces the incidence of chronic knee pain often associated with older nail designs.
While the Titanium nail is biocompatible and can stay in place for life, some patients choose to have it removed after 18-24 months if they experience irritation or if they are young athletes. Removal is a straightforward procedure using our dedicated extraction tools.
Our proximal targeting jig is rigidly attached to the nail handle, ensuring that the drill bit aligns perfectly with the screw holes in the Titanium nail. Distal locking is performed using the "free-hand" technique under fluoroscopy for maximum precision.


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