The Synthes Tibial Nail system supports multiple surgical approaches‚ each chosen based on the specific fracture pattern‚ patient anatomy‚ and surgeon preference. The infrapatellar approach‚ a common method‚ involves an incision below the patella‚ providing direct access to the tibial plateau. This technique minimizes soft tissue.. So far, surgeons have used the cannulated Expert Tibial Nail which has been provided in two different nail design versions: (1) nail with 10.5° bend starting at 75 mm proximally with a radius of 376 mm to 1128 mm depending on the nail length; (2) nail with 10.5° bend starting at 65 mm proximally with a fixed radius of 100 mm and a 3° tip bend starting at 57 mm distally (called 'Expert.
6 Synthes Expert Tibial Nail Surgical technique Cases Fracture involving the proximal component Case 1 The use of the three Locking Screws in the proximal oblique locking options ensures optimal stabilization of the Expert Tibial Tail in the proximal fragment. Distally, the Expert Tibial Nail can be locked with two ML Locking Screws (see.. Page 1 Expert Tibial Nail. Technique Guide Expert Nailing System. Page 3 For detailed information please refer to "Reprocessing, This description is not sufficient for immediate application of the instrumentation. Instruction by a surgeon experienced in Care and Maintenance of Synthes Instruments", Article No. 035.000.090. handling this instrumentation is highly recommended.