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When to Choose Intertan Nailing System - A Quick Guide.docx

In the realm of orthopedic trauma care, effective fracture fixation is key to restoring mobility and quality of life. Among the various devices available for treating proximal femoral fractures, the Intertan Nailing System has emerged as a preferred choice for many surgeons. Known for its integrated interlocking design and biomechanical stability, the Intertan nail is especially effective in treating unstable intertrochanteric and subtrochanteric femur fractures. This quick guide explores when to choose the Intertan Nailing System, its advantages, and clinical scenarios where it stands out.<br>

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When to Choose Intertan Nailing System - A Quick Guide.docx

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  1. When to Choose the Intertan NailingSystem? A Quick Guide. In the realm of orthopedic trauma care, effective fracture fixation is key to restoring mobility and quality of life. Among the various devices available for treating proximal femoral fractures, the Intertan Nailing System has emerged as a preferred choice for many surgeons. Known for its integrated interlocking design and biomechanical stability, the Intertan nail is especially effective in treating unstable intertrochanteric and subtrochanteric femur fractures. This quick guide explores when to choose theIntertan Nailing System, its advantages, and clinical scenarios where it stands out. Understanding the Intertan Nailing System The Intertan Nailing System is an intramedullary fixation device designed to treat proximal femoral fractures. What sets it apart from traditional nails is its unique integrated two-screw design, a larger lag screw paired with a smaller compression screw. This allows for controlled linear and rotational compression, which improves fracture stability, reduces micromotion, and promotes faster healing. Ideal Indications for Using the Intertan Nail Unstable Intertrochanteric Fractures One of the most common indications for choosing the Intertan Nailing System is unstable intertrochanteric fractures, particularly AO/OTA 31-A2 and A3 types. These fracture types often

  2. involve comminution and loss of medial or lateral support, making them challenging to stabilize with conventional implants. The Intertan system’s superior ability to maintain rotational stability and compress the fracture site makes it ideal in such situations. Subtrochanteric Fractures The system is also highly suitable for subtrochanteric fractures, which are prone to high stress and deformation. The Intertan nail’s design ensures better load distribution and decreases the risk of implant failure. It allows for early weight-bearing postoperatively, which is particularly beneficial for elderly patients. Osteoporotic Bone In patients with osteoporotic bone, traditional fixation methods may fail due to poor bone quality. The Intertan nail’s intramedullary load-sharing characteristics and integrated dual screw construct help anchor the implant more securely, reducing the chance of screw cut-out or implant migration. Need for Early Mobilization In elderly or polytrauma patients where early ambulation is crucial, the Intertan nail offers a strong construct that can withstand early weight-bearing. Studies have shown reduced time to full weight-bearing and lower complication rates compared to other fixation systems. Advantages of the Intertan Nailing System ● Rotational Stability: Dual integrated screws lock rotationally, preventing femoral head rotation, a common cause of fixation failure. ● Controlled Compression: The compression screw allows for controlled intraoperative compression at the fracture site. ● Reduced Implant Failure: The design lowers the risk of common complications like Z-effect, screw back-out, and femoral head perforation. ● Minimized Blood Loss and Surgery Time: The streamlined surgical technique reduces operative time and intraoperative bleeding. When Not to Use Intertan Nails? While the Intertan Nailing System is versatile, it may not be the best choice in certain situations: ● Very narrow femoral canals, where the nail size may not fit optimally. ● Pediatric or skeletally immature patients, due to open growth plates. ● Pathologic fractures with significant bone loss or tumor invasion may require alternative fixation or prosthetic replacement.

  3. Conclusion Choosing the right orthopaedic implant fixation system for proximal femoral fractures can significantly influence outcomes. The Intertan Nailing System offers a combination of mechanical strength, rotational stability, and controlled compression, making it a top choice for complex and unstable femoral fractures. Surgeons should consider using it in cases involving osteoporotic bone, unstable fracture patterns, and the need for early mobilization. As always, patient-specific factors, surgeon experience, and fracture characteristics should guide the final decision. Contact Information Address:- WZ- 1, 2nd Floor, Phool Bagh, Ram Pura, New Delhi, 110035 INDIA Mobile:- +91 9810021264 Mail:- siioraorthopaedic@gmail.com Website :- https://www.siiora.com/ Source:- https://telegra.ph/When-to-Choose-the-Intertan-Nailing-System-A-Quick-Guide-06-19

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