Tibial intramedullary nail 4080108

proximal fixationdistal fixationright

Product Introduction
The Tibial Intramedullary Nail Model 4080108 is an intramedullary fixation implant manufactured in Titanium Alloy TC4 for stabilization of tibial fractures. It is suitable for shaft, metaphyseal and intra-articular pilon fractures and is compatible with a suprapatellar insertion technique to facilitate reduction and implantation.

Medical Background
The suprapatellar approach allows nail insertion with the knee in extension, reducing deforming forces from quadriceps traction and easing maintenance of reduction in proximal tibial fractures. This approach may also simplify entry point identification and limit extensive limb manipulation during surgery.

Advantages of the Suprapatellar Approach

• Reduced deforming stress from quadriceps traction during nail insertion
• Improved maintenance of reduction in proximal tibial fractures
• Less extensive manipulation of the injured limb required
• Simplified identification of the nail entry point
• Protection of the proximal tibial cortex
• Reduced incidence of postoperative knee pain

Features
Proximal Locking Design
The proximal section has a 14 mm design with a multi-plane locking configuration that includes five screw holes oriented in four directions.

• 5 proximal screw holes
• Screw orientations in 4 directions
• 3 cancellous bone screw holes
• 2 standard interlocking holes

The proximal locking screws use dual-core (dual-line) threading to increase thread contact area and screw holding strength.

Anatomical Nail Contour
The continuous long-curved anatomical contour reduces pressure on the medullary canal during implantation and follows an anatomical curvature appropriate for the intended population.

Ultra-Distal Locking Design
The ultra-distal segment features a 5 mm design with four locking holes in three directions to provide additional distal fixation options and enhance stability.

Distal Locking
Distal locking provides multiple interlocking options to address fracture patterns:

• Up to 4 distal screw holes
• Screws oriented in multiple directions
• 2 transverse interlocking holes
• 1 longitudinal interlocking hole
• 1 ultra-distal oblique interlocking hole with dual orientation
• Ultra-distal hole located 5 mm from the distal tip
• Penultimate locking screw located 13 mm from the distal tip

Application / Indications

• Stable proximal tibial fractures
• Stable distal tibial fractures
• Tibial shaft fractures (open and closed)
• Tibial malunions and nonunions

Locking Recommendations
Per product guidance:

• Proximal tibial fractures: ≥3 proximal locking screws and 2 distal locking screws
• Tibial shaft fractures: ≥2 proximal locking screws and 2 distal locking screws
• Distal tibial fractures: ≥2 proximal locking screws and 3 distal locking screws

Technical specifications

• Model Number: 4080108
• Material: Titanium Alloy TC4
• Proximal design: 14 mm multi-plane locking with 5 holes oriented in 4 directions (includes 3 cancellous screw holes)
• Ultra-distal design: 5 mm with 4 locking holes in 3 directions; ultra-distal hole 5 mm from tip; penultimate hole 13 mm from tip
• Proximal screws: dual-core / dual-line threading for increased holding strength
• Anatomical continuous long-curved contour
• Indications: proximal/distal tibial fractures, tibial shaft fractures, malunions and nonunions

Available nail sizes (diameter x length)
8.5 | 260
8.5 | 280
8.5 | 300
8.5 | 320
8.5 | 340
8.5 | 360
8.5 | 380
10 | 260
10 | 280
10 | 300
10 | 320
10 | 340
10 | 360
10 | 380
11.5 | 260
11.5 | 280
11.5 | 300
11.5 | 320
11.5 | 340
11.5 | 360
11.5 | 380