Intramedullary Nailing (IM Nailing)

What is Intramedullary Nailing (IM Nailing)?

Intramedullary nailing, or IM nailing, is a surgical procedure used to repair fractures of long bones, such as the femur (thighbone), tibia (shinbone), or humerus (upper arm bone). The procedure involves inserting a metal rod (nail) into the marrow cavity (intramedullary canal) of the fractured bone to stabilize the fragments and promote healing.

When is Surgery Necessary?

IM nailing is typically recommended for:

Displaced Fractures: When the bone fragments are significantly out of place.
Comminuted Fractures: When the bone is broken into multiple pieces.
Open Fractures: When the broken bone has pierced the skin.
Segmental Fractures: When the bone is broken in multiple locations along its length.
Pathological Fractures: Fractures caused by weakened bone due to disease.

Surgical Procedure

Anesthesia: General anesthesia is typically used.
Incision: Small incisions are made at the insertion point and sometimes at the fracture site.
Fracture Reduction: The broken bone fragments are realigned.
Nail Insertion: The intramedullary nail is inserted into the marrow cavity.
Locking Screws: Locking screws are inserted at the ends of the nail to secure it to the bone.
Closure: The incisions are closed with stitches or staples.

Recovery

Hospital Stay: A short hospital stay is usually required.
Pain Management: Pain medication is prescribed as needed.
Physical Therapy: Rehabilitation is crucial for regaining strength and mobility.
Weight-Bearing Restrictions: Weight-bearing restrictions may be necessary for a period of time.
Activity Restrictions: Certain activities are restricted for several months.

Disclaimer

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Share this post