The orthopedic surgeon makes a small notch in the skin to the tissue nearest to the one end of the broken bone to straighten up the fractured bones and to provide maximum healing base and puts a rod-like device shaped like a nail into the cleft center of the bone, called the medullary cavity. The intramedullary nail forms an unconstrained internal prop to sustain the fracture. All this procedure is usually done for three types of fractures;
A Tibia Plateau Fracture:
It’s a bone fracture which causes the deterioration in the continuity of the bone appearing in shinbone called the tibial plateau. It affects the working of the knee joint and the substantiality of the motion. In this part of bone surgeon always insert intramedullary nail for strength and support of the bone.
A Femoral Shaft Fracture:
Our Thigh bone called femur, is the longest and strongest bone exist in our body. The part of femur that is long and straight is called the femoral fracture when there is a breakage happened in any of this longest area of the bone, it is a femoral shaft fracture area where the intramedullary nail is installed to provide support to the thigh bone.
A Humerus Fracture:
It is the upper arm bone injury. The upper arm bone is called humerus that connects the shoulder with the elbow. Humerus fractures may be of three kinds.
Clavicle Fracture: A fracture in collar bone that begins at the neck and extends to the shoulder, these fractures happens due to the fall and direct hit. When we get a clavicle fracture, then we may have a difficulty in raising the arm.
Proximal Humerus Fracture: The fracture at the top of the humerus bone is called the humerus fracture. The proximal humerus fracture affects the shoulder joint with high intensity and its difficult and time taking to heal.
There are 2 types of Proximal Humerus Fracture:
- A shaft fracture disturbed the middle portion of the humerus bone.
- A distal humerus fracture affects the bottom end of the humerus, near the elbow joint.
A humeral fracture can often be managed without surgery. Factors that control the requirement for surgery include the amount of displacement, the involvement of the cartilage in the joint, and the age and activity level of the patient.
Scapula Fracture: A flat triangular bone located in the upper back part of the shoulder is called scapula. It provides the major connections between the arm and the chest. These fractures are not so common. They most commonly happen in men. This type of injury typically has continued to other damages, some are nerve injuries, rib fractures, or lung injuries.
Advantages of Intramedullary Nail
- It provides strength and flexible support to the bones.
- Exactly straighten the fractured bones for faster mending and lead to weight bearing very steadily.
- Motion in joints starts earlier and stiffness gets reduced.
- It encourages more alike motion in uninjured muscles and other nearby joints.