Titanium Cannulated Tibial Nail EX

Division: Trauma
Category: Intramedullary Nails

The Titanium Cannulated Tibial Nail — EX offers a variety of proximal and distal locking options, giving the surgeon the ability to tailor fixation to the fracture pattern. The Titanium Cannulated Tibial Nail — EX is available in a universal design for the left or right tibia, with a 10.5° bend starting at 75 mm proximally and a straight distal segment.

Indications for Use

The Tibial Nail – EX 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)



IM Nail Instrumentation Video - high quality



The Titanium Cannulated Tibial Nail Technique Guide

Titanium Cannulated Tibial Nail-EX 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.