Intramedullary Interlocking Nail

Siora Surgicals Introduces Wide Range of Intramedullary Interlocking Nail

An intramedullary Nails (IM Nail), also known as intramedullary rod or inter-locking nail is a metal rod pushed into the medullary cavity of a bone.

Interlocking Nail has been used for the treatment of long bone fractures of the body. IM nails are used for the different types of fractures like Fibula Fracture, Tibia Fracture, and femur fracture, etc.

Fibula Fracture: A fibula fracture can happen when there is an injury to the smaller of the two bones of the lower leg (the segment between the knee and ankle), the fibula. The bone just below the knee joint is the fibular bones. The fibula bone does little support for the weight of the body.

Types of Fibula Fractures

There are several different types of injury to the fibula bones:

  1. Fibula fractures that result from injury to the ankle joint
  2. Fibula fractures that occur in conjunction with tibia fractures
  3. Stress fractures of the fibula

Tibia Fracture: The tibia fracture is also known as shinbone fractures. Tibia fracture happens in the long bone of the body. This fracture occurs below the knee and above the ankle. The lower leg is made of two bones fibula and tibia. The tibia is a larger bone among these two bones. Tibia Fracture can happen due to an accident of motor vehicles, car accidents, etc.

Types of Tibial Shaft Fractures

Tibia fractures can be classified as depending on:

  • The location of the fracture (the tibial shaft is divided into thirds: distal, middle, and proximal)
  • The pattern of the fracture (for example, the bone can break in different directions, such as crosswise, lengthwise, or the middle)
  • Whether the skin and muscle over the bone is torn by the injury (open fracture)

Femur Fracture: The femur is the strongest and longest bone in the upper part of the leg. It is also known as thigh bone. The femur bone is strong, so to break it significantly requires high impact. It may break due to car crashes or high impact accidents.

Types of Femur fractures

  • Femur fractures can be classified into three categories:
  • Proximal Femur Fractures
  • Femoral Shaft Fractures
  • Supracondylar Femur Fractures

Treatment Guidelines:For the treatment of the above explain fracture sometimes surgery requires depending on the types of the fracture. In the surgical procedure, the surgeon needs orthopedic implants and an instrument to treat the fracture. Siora Surgicals has a wide range of interlocking Nails and other trauma implants.

Siora Surgicals Product Categories: –

  • Helix Locking Plate System
  • Small & Large Fragment Implants & Instruments (Non- Locking)
  • Cannulated Screws
  • DHS / DCS Implants & Instruments
  • Angled Blade Plates
  • Mini Fragment Implants & Instruments (Non- Locking)
  • Hip Prosthesis
  • Radial Head Prosthesis
  • AURA Spine
  • TFN / PFN Nailing System
  • Tibia & Femur Interlocking System
  • Titanium Elastic Nailing System
  • Adroit Multifix Tibia Nailing System
  • Adroit AFN Nailing System
  • Humerus Interlocking Nailing System
  • Supra Condylar Nailing System
  • PFNA- II (Proximal Femoral Nail Antirotation)
  • External Fixator System
  • Large & Small Round External Fixator System
  • Ring Fixator System (PEDIATRIC)

About Company: Siora Surgicals Pvt. Ltd. Is one of the Leading orthopedic implants and instruments manufacturing company in India.  Also, We have Neutral Code from Licensing authorities for operations of OEM manufacturing. Our Corporate Office is in Delhi and the manufacturing unit is in Sonipat Rai Industries. We at Siora Surgicals, have a different range of trauma implant which is used during the trauma surgery.

When to Consult an Orthopedic Specialist

It is not unusual to experience pain as an athlete, or in everyday activity. It is typically best to see your regular doctor and they will let you determine if there is any want to go to with an orthopedic surgeon. A visit to a health care professional does no longer imply you need a surgical operation; it is the opportunity to see what care alternatives you do have.

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The first thing that you may need to do is to search for an orthopedic surgeon that specializes in the sort of injury that you have. Time surgery requires for the treatment of the pain. In the surgical procedure, the surgeon needs implants and instrument which can acquire by trauma implants manufacturer. Although this may sound like unneeded advice, you’ll find that many medical doctors specialize in different areas of the body. Most surgeons are not general. When you have an issue along with your knees you’ll need a person that has had additional training for those sorts of operations as they may have specialized in sports medication.

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Special Sites of Skeletal Traction in Lower Limb

Special Sites of Skeletal Traction in Lower Limb

The sites of skeletal traction performed in the lower limb are mentioned below:

  1. Distal End of Femur.

Technique: The point of entrance of the pin is about one inch proximal to the adductor tubercle and slightly anteriorly over the distal end of femur.

Indication: The traction is applied for fracture of the pelvis, fracture and dislocation around the hip joint, fracture of the upper, lower and mid- shaft of femur. 

  1. Traction Through the Greater Trochanter of Femur.

Technique: The pin is inserted through the mid-part of the greater trochanter in a transverse direction to the longitudinal axis of the femur. The orthopedic pin can be accessible from the orthopedic implant exporter and manufacturers.

Indication: This is done in central fracture dislocation of the hip joint. Traction is directed laterally to enable the central dislocation to come out. 

  • Traction Through Proximal tibia

The point is selected a little distal and posterior to the tibial tubercle. It is wiser to insert the pin from the lateral side of the tibia to avoid injury to the peroneal nerve.

Indication: Traction through the distal end of femur and proximal end of tibia serves the same purpose. Tibial traction is more commonly used as it is a much easier technique.

This technique can be used in supracondylar fracture of the femur with involvement of the knee joint. 

  1. Lower Tibial Traction

Technique: The pin is inserted in a horizontal direction from medial to lateral side. The point of insertion is about 3 to 4 fingers above the medial malleolus and one finger behind the anterior border of the tibia. The pin may be inserted through both the tibia and fibula. With practice this can be passed anterior to the fibula without entering through it.

Indication: Some comminuted and unstable fractures of tibia which are difficult to manage by simple plaster immobilization can be managed by this technique. This is an ideal procedure in cases where soft tissue loss is associated with the fracture of the tibia, as plaster application cannot be performed. The traction is maintained after application of a Thomas splint. This procedure enables the surgeon to supervise the soft tissue lesion with ease. 

  1. Traction Through the Calcaneum

Technique: The point of insertion of the pin is about 2.5 cm. (1”) proximal and about 1.88 cm. (¾”) anterior to the heel. Care must be taken not to injure the posterior tibial vessels.

Indication: This is done for the same conditions as the lower tibial traction.


In the case of an upper limb, this can be done through the olecranon process and through the finger bones.

  1. Olecranon Process

Technique: A point about 1.25 cm (½”) to 2.5 cm. (1”) distal to the tip of the olecranon process and about 1.25 cm (½”) anteriorly is selected. The ulnar nerve must be safeguarded while introducing the pin.

Indication: Fracture at any position of the humerus, unstable supracondylar fractures and fracture dislocation around the shoulder joint can be treated by this technique. 

  1. Traction Through the Fingers

Traction can be applied for fracture-dislocations involving the phalanges and interphalangeal joints. A small pin is passed through the terminal phalanx and “U” bar is mounted on the ends of the pin through which traction is applied. This method can also be used in cases of fracture of the toes of the lower limbs.


Skull traction is made by making holes on both sides of the scalp. The openings in the skull bone are made by guarded trephine, which pierces only through the outer table of the skull but does not make an opening in the inner table. The points may vary but usually, they are about 5 cm (2”) to 7.5 cm. (3”) above the level of the external auditory meatus.

Indication: Fracture and fracture dislocations of the cervical spine are managed by this procedure.

Advantages of skeletal traction:

  1. Prolonged traction is ideally maintained by the skeletal traction.
  2. Joint movements distal to the site of skeletal traction can be encouraged. Traction suspension apparatus must be designed in such a way that this can be adjusted with ease. Performance of physical exercise minimizes the chances of joint stiffness, which is a common feature after plaster immobilization.

Disadvantages of skeletal traction:

Prolonged immobilization of the patient in bed while the traction is maintained and infection at the site of insertion of the pin are the main drawbacks of skeletal traction. The pin (an orthopedic implant) may glide further from one side to the other and may enhance the chances of infection.



Two types of traction are commonly used.

  1. Dunlop Traction by applying skin traction for supracondylar fracture.
  2. Olecranon Skeletal Traction: Olecranon traction can be applied in two ways especially in case of supracondylar fracture. These procedures are done when the lesion is unstable variety. The traction can be adjusted in a horizontal direction parallel to the surface or the bed or can be applied by overhead traction.


  1. Fixed Skin Traction:The foot end of the traction tape is tied to the cross piece of the Thomas splint and made taut. The end of the splint is fixed to the foot- end of the bed.

The circular ring of the upper end of the splint presses against the ischial tuberosity of the patient.

  1. Balanced Traction:The technique is done on the same principle as the fixed skin traction. The foot- end of the bed is raised. By doing so the body weight of the patient exerts a counter- traction.


  1. Hamilton Russel Traction:In this technique no Thomas or any rigid splint is required.
  2. Thomas Splint with Pearson’s Knee Flexion Piece:Knee flexion piece is attached to the Thomas splint which allows movement of the knee- joint.
  3. Traction on Braun Frame:Skeletal traction is applied either through upper or lower end of tibia. The limb is placed on the Braun frame.
  4. Fisk traction:In this method the knee movement can be performed upto 90⁰ along with the flexion piece.
  5. Vertebral Traction of Femur:The traction can be applied by inserting the pin through the condyles of the femur or through the proximal end of tibia. No splint is required in this procedure. This technique can be used in cases of fracture of the shaft and supracondylar fracture of the femur.

Modern Orthopedic Surgery with Medical Device

In early levels of orthopedic technology, some conservative techniques had been used redressement, traction for fracture for extremities, plaster caster, massage and calisthenics. but the development of asepsis, antisepsis, general anesthesia after which roentogenography came into use.

Orthopedics surgeons were once devoted to the care of youngsters with limb deformities and spine. Now they may be worried with the patients of all age groups beginning from newborns with club feet to athletes that require arthroscopic surgery including older age with arthritis. The point is that orthopedic implant exporters say that everybody can affected by fractured bone.

The work of orthopedic health practitioner is to control issues of musculoskeletal system. This consists of diagnosis of the sickness or damage. Then there is treatment with medicine, exercise and physical therapy to control strength, movement and function. Rehabilitation is done with the help of advocated exercises together with physical therapy to fix the function and strength. The final is the prevention with information with treatment plan to prevent damage and slow the advancement of the disease.

Orthopedic surgeons are familiar with all aspects of musculoskeletal system. a lot of those focus on certain areas like foot, ankle, backbone, Hip Prosthesis, knee and others. they can pick to specialize in certain fields like trauma or sports medicine, pediatrics and so on. The surgical treatment includes Arthroscopy, Fusion, internal Fixation, Joint replacement, soft Tissue repair and Ostetomy. Many human beings do not know that orthopedic surgeons treat musculoskeletal structures without surgery. this is with the help of exercising, medication, rehabilitative and other possible treatments.