Kurzfassung

The operative treatment of distal tibial fractures demands a stable fixation while minimizing the irritation to the soft tissues by the surgical approach and implants. The Retrograde Tibial Nail (RTN) is new intramedullary implant developed by our group.
Implantation studies with the RTN in human cadaveric lower leg specimen demonstrated a safe and minimally invasive use of the RTN as a sole implant in 43-A1/A2/A3 fractures. In combination with primary lag screw fixation of the articular...The operative treatment of distal tibial fractures demands a stable fixation while minimizing the irritation to the soft tissues by the surgical approach and implants. The Retrograde Tibial Nail (RTN) is new intramedullary implant developed by our group.
Implantation studies with the RTN in human cadaveric lower leg specimen demonstrated a safe and minimally invasive use of the RTN as a sole implant in 43-A1/A2/A3 fractures. In combination with primary lag screw fixation of the articular block, the RTN was also successfully implanted in 43-C1/C2 type fractures. Biomechanical results demonstrated superior performance for the retrograde tibial nailing in comparison to the current standard treatment techniques (antegrade nailing and angle stable plate osteosynthesis).
The experimental Retrograde Tibial Nail meets the requirements of a minimally invasive surgical approach, with the ability of a secure fracture fixation. The outcome of our studies suggest the Retrograde Tibial Nail to be a promising new concept for the treatment of distal tibial fractures. Currently the implant system is finalized and a clinical trial planned for 2016.
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