title: Extending the indications of intramedullary nailing with the Expert Tibial Nail.
abstract: Numerous modifications in nail and screw design have led to the development of the Expert Tibial Nail. It enables the surgeon to further extend the spectrum of fractures eligible for intramedullary nailing. In the proximal metaphysis spongious bone screws achieve an optimized purchase in the cancellous bone. Multidirectional interlocking screws ensure that alignment can be well maintained and stability preserved in short proximal or distal tibial segments. The end cap achieves angular stability between the proximal oblique screw and the nail. These changes in implant design enhance the stability of the bone-nail construct and reduce the risk for secondary malalignment. The results of our prospective case series demonstrate favorable results and extended indications, compared to standard tibial nails.
authors.affiliation: Department of Trauma Surgery, University Hospital of the Johannes Gutenberg-University of Mainz, Germany. kuhn@unfall.klinik.uni-mainz.de
authors.forename: S
authors.initials: S
authors.lastname: Kuhn
authors.forename: M
authors.initials: M
authors.lastname: Hansen
authors.forename: P M
authors.initials: PM
authors.lastname: Rommens
mesh_terms: D001858:Bone Nails; D004867:Equipment Design; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D006801:Humans; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*