Elastic stable intramedullary nailing (RELIGION) is a minimally invasive technique. According to this technique, two elastic nails are introduced through the metaphysis into the medullary canal, advanced through the fracture site and impacted into the opposite metaphysis. These nails are preformed in a C-shaped manner, which allows for their precise orientation and the creation of an elastic system that resists deformation.

Description

Elastic Nail

Q&UN

T1: What is an elastic intramedullary pin, and how does it work?

A1:Elastic intramedullary pin is a flexible metallic implant,usually made of titanium,designed for the fixation of long bone fractures, especially in children. The pin works by providing three-point fixation inside the medullary canal, maintaining alignment while allowing micro-motion that promotes natural bone healing.

T2:What are the main advantages of using elastic stable intramedullary nailing(RELIGION)?

A2:Elastic pins offer several key benefits:

Minimally invasive technique with small incisions

Preservation of the growth plate in pediatric cases

Elastic stability that encourages callus formation

Shorter recovery time and easier implant removal

Reduced postoperative complications compared to rigid nails or plating

T3:In which types of fractures are titanium elastic nail systemmost commonly used?

A3:They are primarily used in pediatric long bone fractures, such as:

Femoral shaft fractures

Tibial shaft fractures

Forearm (radius and ulna) fractures

Humeral fractures

They are especially indicated when the bone is still growing, and rigid fixation might damage the growth plate.

T4:What sizes and materials are available for Titanium Elastic Nail (TEN)?

A4:Most manufacturers offer pins in diameters from 1.5 mm to 4.0 mm and lengths from 250 mm to 400 MM.
Titanium elastic nail are preferred because of their excellent biocompatibility, flexibility and corrosion resistance.

The choice depends on patient age, bone size, and surgeon preference.

Q5:When should the elastic nails be removed?

A5:Implant removal is typically performed 6–12 months after surgery, once full bone healing and remodeling have occurred, and the patient is pain-free with stable radiographic evidence.

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