Nailing(Long/Small bone)
What Is Bone Nailing?
Bone nailing, also called intramedullary nailing, is a surgical technique used to treat fractures of long bones such as the femur (thigh bone), tibia (shin bone), or humerus (arm bone). In this procedure, a specially designed metal rod (nail) is inserted into the hollow center of the bone (the medullary canal) to stabilize the fracture and allow proper healing.
When Is It Needed?
Your doctor may recommend bone nailing if you have:
- Fractures of long bones (femur, tibia, humerus).
- Complex or unstable fractures that cannot be treated with casting alone.
- Multiple fractures or high-energy injuries (e.g., road accidents).
- A need for early mobilization and faster recovery.
The Procedure Step-by-Step
- Evaluation – X-rays or CT scans confirm the fracture pattern.
- Anesthesia –General or regional anesthesia is given.
- Incision – A small incision is made near the end of the bone.
- Insertion– A metal nail is guided into the hollow center of the bone.
- Fixation – Screws are placed at both ends of the nail to lock it in position.
- Closure – The incision is closed, and recovery begins.
Recovery and Rehabilitation
- Hospital stay:Usually 2–5 days depending on injury severity.
- Weight-bearing:Often allowed earlier than with other fixation methods.
- Physiotherapy: Begins soon after surgery to restore movement and strength.
- Return to activities: Daily activities resume in 6–12 weeks; sports or heavy work may take longer.
Benefits
- Strong and stable fixation for long bone fractures.
- Allows early movement and weight-bearing.
- Smaller incisions compared to open plating.
- Faster recovery and reduced risk of malunion (improper healing).
Risks & Considerations
- Infection at the surgical site.
- Pain or irritation from the nail or screws.
- Rare risk of non-union (bone not healing).
- Sometimes nails may need removal after healing.
Key Message for Patients
Bone nailing is a safe and effective surgery for long bone fractures. By stabilizing the bone with a metal rod inside its hollow center, the procedure ensures proper healing, restores alignment, and allows patients to return to daily activities more quickly. With proper rehabilitation, most patients achieve excellent long-term outcomes.
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