Challenge: Tibial Fractures
TRIGEN META-Nail Tibial
Enhanced Fixation
Dedicated Instruments for blocking screws and extension nailing
Enhanced Fixation

Dedicated Instruments
Blocking screws

Nailing in extension
Reduced flexion leads to less pull from the quadriceps muscle, helping to avoid fracture malreductions and malalignment.

58% of proximal tibia fractures were malaligned3.

References:
1. Michael Hoffmann, MD, MBA, Malte Schroder, MD, Wolfgang Lehmann, MD, PhD, Michael Kammal, MD, Johannes Maria Rueger, MD, PhD, and Andreas Herrman Ruecker, MD. Next generation distal locking for intramedullary nails using an electromagnetic X-ray-radiation-free real-time navigation system. J Trauma Acute Care Surg. 2012; 73: 243-248.
2. Ashmore JP, Krewski D, Zielinski JM, Jiang H, Semenciw R, Band PR. First analysis of mortality and occupational radiation exposure based on the National Dose Registry of Canada. Am J Epidemiol 148(6): 564, 1998.
3. Freedman EL, Johnson EE. Radiographic analysis of tibial fractures malalignment following intramedullary nailing. Clin Orthop Relat Res. 1995:25-33.
4. Tornetta P, Patel P, Tseng S, Whitten A, Ricci W. Distal locking using an electromagnetic field guided computer based real time system. Orthopaedic Trauma Association (OTA) Annual Meeting Poster No. 98, 2009.