When someone breaks the upper part of their thigh bone, specifically the femur near the hip, it’s not just a painful injury; it’s a major disruption. Walking, standing, or even sitting becomes tough. That’s where Intertan nailing comes in. It’s a surgical technique that doctors use to fix certain types of hip fractures, especially in older adults. This guide breaks down what Intertan nailing is, how it works, and why it matters, without the medical jargon overload.
The Basics: What Is Intertan Nailing?
Intertan nailing is a type of internal fixation used to treat fractures in the upper femur, usually the intertrochanteric region (the area just below the ball of the hip joint). The term “Intertan” refers to the brand and design of the nail, which has some unique features compared to traditional options.
The procedure involves placing a metal rod (the nail) inside the femur bone. This rod runs from the top of the thigh bone down into the shaft. What makes the Intertan system special is that it uses two screws in a specific configuration, one large lag screw and one smaller compression screw. These screws go into the femoral neck and help stabilize the bone more securely.
Why Is It Done?
Hip fractures are common in the elderly, especially those suffering from osteoporosis. A simple fall can cause a break that needs surgical repair. Intertan nails are designed to offer better stability and allow for earlier movement. That’s a big deal, especially for elderly patients, since prolonged bed rest can lead to complications like blood clots or pneumonia.
Intertan nails also reduce the risk of implant failure because they’re built to handle both the twisting and compressive forces that occur during walking. In simpler terms, they’re sturdy and built to help people get back on their feet faster.
What Happens During Surgery?
The surgery is typically done under spinal or general anesthesia. Here’s a quick rundown of what happens:
Positioning
The patient is placed on a special table that helps keep the leg in the right alignment.
Incision and Access
A small incision is made near the hip, and the surgeon inserts a guide wire down into the femur.
Drilling and Insertion
After creating space, the Intertan nail is inserted into the bone. Then, the two screws are placed through the nail and into the femoral neck to lock everything in place.
Closure
The incision is closed, and the leg is checked for correct alignment.
The whole process usually takes about an hour, depending on the complexity of the fracture.
Recovery and Rehabilitation After Intertan Nail Surgery
Recovery varies, but most patients start moving (with assistance) within a day or two. Physical therapy begins almost immediately to prevent stiffness and help rebuild strength. Walking aids like walkers or crutches are often used for a few weeks. The goal is to return to normal activities as soon as safely possible.
Pain management, blood thinners to prevent clots, and regular follow-ups are part of the post-op plan. For most patients, healing takes a few months, but many start to feel much better within weeks.
What Are the Benefits and Risks of Intertan Nailing Surgery?
Benefits:
- Faster recovery time
- Lower risk of hardware failure
- Better bone compression and stability
- Early weight-bearing possible
Risks:
- Infection
- Blood clots
- Implant failure (rare with proper technique)
- Need for revision surgery if healing doesn’t go as planned
Final Take
Intertan nailing is a solid, trusted method for fixing certain types of hip fractures. It’s not just about screwing metal into bone; it’s about restoring independence and mobility. For patients, especially older adults, that can mean the difference between a tough recovery and getting back to life quicker and safer.
Siora Surgicals Pvt. Ltd. is a renowned manufacturer of an international standard range of Intertan Nailing System, along with other trauma implants. If you want to explore Siora’s advanced and newer range of orthopedic devices, visit booth X21 at the FIME Show Miami.
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