World´s first bioabsorbable intramedullary nail
Radius and ulna fractures are unfortunate, but typical with active children. Intramedullary nailing is a regular treatment for these injuries and also unstable diaphyseal fractures can be treated with similar technique.
Now the fixation of diaphyseal forearm fracture is possible without removal operations, with a world´s first bioabsorbable intramedullary nailing implant,
Activa IM-Nail™
Diaphyseal pediatric forearm fracture fixation with Activa IM-Nail™
Activa IM-Nail™ introduces a new intramedullary nailing technique, respecting the insertion principals of traditional intramedullary nailing. The big difference is that the child and the family avoid protection needs for the protruding nail from the skin and avoid the unnecessary visit to the removal operation after 3-6 months from the operation. Without these delays the recovery process is fast.
Activa IM-Nail™´s revolutionary TCP-tip offers insertion in fluoroscopy guidance, thus making the insertion easy and familiar to the user. The TCP-tip is also fully bioabsorbable, like to whole Activa IM-Nail™. There is no need for huge product inventory as you can adjust Activa IM-Nail™ anatomically to the desired length after the insertion. You can find the same familiar Activa-product features: patented grooved design and Self-Locking SL™, from the Activa IM-Nail™.
The mechanical strength of the Activa IM-Nail™ together with cast immobilisation enables stabilization of the fracture. Activa IM-Nail™ has a load carrying capacity for at least 8 weeks to support to the healing tissue until it has achieved its original function. Therefore, Activa IM-Nail™ continues to support the healing even after the cast removal at week 4 or later.
Studies
Pilot Study and Preliminary Results of Biodegradable Intramedullary Nailing of Forearm Fractures in Children
Roeder, C.; Alves, C.;Balslev-Clausen, A.; Canavese, F.;Gercek, E.; Kassai, T.; Klestil, T.;Klingenberg, L.; Lutz, N.; Varga, M.;et al.
Children 2022, 9, 754.
A New Mini-Invasive Technique in Treating Pediatric Diaphyseal Forearm Fractures by Bioabsorbable Elastic Stable Intramedullary Nailing: A Preliminary Technical Report
J.-J. Sinikumpu, J. Keränen, A.-M. Haltia, W. Serlo, J. Merikanto.
Scandinavian Journal of Surgery, Vol 102, Issue 4, 2013
White papers
Bioabsorbable intramedullary nail - fixation of forearm fractures in children - Bioretec R&D report
Technique
Surgical Technique for Activa IM-Nail™
Operation Video
Technique Animation
Webinar
Why this technique?
Child avoids needless implant removal operation and 3 to 6 months with metal protruding through the skin allowinga way for infections and child can continue to grow normally, without implant interfering the growth
Operational technique respects the traditional intramedullary technique, allowing enhanced fluoroscopy guidance for the implant
Activa IM-Nail™ continues to support the healing even after the cast removal at week 4 or later
Image from Sinikumpu et al. (2013)