Titanium Cannulated Tibial Nail - EX with Proximal Bend

Division: Trauma
Category: Intramedullary Nails

The Titanium Cannulated Tibial Nail — EX with Proximal Bend offers a variety of proximal and distal locking options, giving the surgeon the ability to tailor the fracture fixation to the fracture pattern. The Titanium Cannulated Tibial Nial — EX with Proximal Bend is available in a universal design for the left or right tibia, with a 10.5° bend starting at 65 mm proximally and a 3° tip bend starting at 57 mm distally.

Indications for Use

The Tibial Nail — EX with proximal bend is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft, open and closed tibial shaft fractures, certain pre- and postisthmic fractures, and tibial malunions and nonunions.

Features & Benefits

Advanced nail design

  • Titanium alloy (TAN) for improved mechanical and fatigue properties
  • Cannulated nails (8 mm to 13 mm diameters) for reamed or undreamed techniques, enabling nail insertion over guide wire
  • All Synthes 2.5 mm or 3.0 mm reaming rods with ball tip may be removed through the nail and insertion handle assembly (no exchange tube required)


Advanced proximal locking options

  • Three innovative locking options, in combination with dual-core locking screws, to increase the stability of the proximal fragment for proximal third fractures
  • Two state-of-the-art mediolateral (ML) locking options enable primary compression or secondary controlled dynamization


End caps

  • Gold end caps securely lock the most proximal oblique locking screw to create a fixed-angle construct
  • Gray end caps feature a lead-in design for easier end cap insertion and will block the two most proximal oblique locking holes so are to be used for standard transverse proximal locking
  • End caps protect nail threads from tissue ingrowth and facilitate nail extraction
  • Self-retaining T40 StarDrive recess for easy pick-up and insertion of end cap
  • Cannulated for use over a guide wire, if necessary
  • 0 mm end caps sit flush with nail
  • 5 mm, 10 mm, and 15 mm end caps extend nail height if nail is overinserted


All locking screws for IM nails

  • Double-lead thread for more contact points enhances stability and ease of insertion
  • Thread closer to screw head provides better bone purchase in the near cortex and improved stability
  • Titanium alloy (TAN) for improved mechanical and fatigue properties
  • Self-tapping blunt tip
  • Self-retaining T25 StarDrive recess allows improved torque transmission and increased resistance to stripping relative to a hex recess, and secure locking screw pick-up
  • Available sterile and non-sterile


Dual-core locking screws

  • Used for proximal locking in the metaphysis through the three proximal locking holes of all tibial nails
  • Dual-core design: smaller core (3.4 mm) for optimized purchase in cancellous bone and larger core (4.3 mm) to withstand load-bearing from the nail
  • Lengths: 30 mm – 90 mm ( 5 mm increments non-sterile)


Standard locking screws for IM nails

  • Larger cross section for improved mechanical resistance
  • 4.0 mm diameter for 8 mm and 9 mm tibial nails, lengths: 18 mm – 80 mm (2 mm increments)
  • 5.0 mm diameter for 10 mm to 13 mm tibial nails, lengths: 26 mm – 80 mm (2 mm increments), 85 – 100 mm (5 mm increments)






Titanium Cannulated Tibial Nail with Proximal Bend Technique Guide

Titanium Cannulated Tibial Nail with Proximal Bend and Radiolucent Instrumentation Back Table Chart

Titanium Cannulated Tibial Nail — EX, with Proximal Bend Inventory Control Form

Titanium Locking Screws and Bolts for IM Nails Inventory Control Form








All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.