Intramedullary Nailing-femur, tibia, humerus

Intramedullary nailing is an advanced orthopedic surgical procedure used to treat fractures in long bones such as the femur (thigh bone), tibia (shin bone), and humerus (upper arm bone). It involves the insertion of a specially designed metal rod (nail) into the medullary canal (central cavity) of the fractured bone. This internal fixation method stabilizes the fracture, promotes healing, and enables early mobilization of the patient.

The procedure is often performed under general or spinal anesthesia. A small incision is made at the entry point near the joint, through which the nail is inserted and positioned along the length of the bone. Interlocking screws are then used to secure the nail in place, maintaining correct alignment and preventing rotation or shortening of the bone.

Intramedullary nailing is considered the gold standard for treating long bone shaft fractures and offers numerous advantages over traditional casting or plating techniques, including stronger fixation, reduced risk of deformity, and quicker return to mobility. It is widely used in trauma cases, high-impact sports injuries, and accident-related fractures.

Post-surgery, patients typically undergo physical therapy to rebuild muscle strength, restore joint motion, and reduce pain or stiffness. In pediatric patients, elastic intramedullary nails are used, which are effective and minimally invasive.

This procedure is especially beneficial for:

• Femoral shaft fractures
• Tibial shaft fractures
• Humeral shaft fractures

It ensures better healing outcomes, especially in active individuals or patients requiring faster recovery.