Fibula Nail 2 System

Overview

Note: The Fibula Nail 2 System is not yet available in the US market

Designed in conjunction with Roy Sanders, MD, the Acumed Fibula Nail 2 includes three nail diameters and four length options, power reamers and carbon fiber radiolucent targeting guides to streamline the procedure, threaded holes within the nail, headless hexalobe screws to minimize soft-tissue irritation, and the option to lock the nail proximally, providing additional fixation within the canal.

The Fibula Nail 2 must be used in conjunction with the Acumed Fibula and Forearm (FFN) Nail 2 Base Set, which contains universal instrumentation to implant the Fibula Nail 2, Ulna Nail 2, and screws.

Indications for Use

The Acumed Fibula and Forearm Nail 2 System is intended for fixation of fractures and osteotomies of the fibula and ulna, including fractures where the medullary canal is narrow or flexibility of the implant is paramount.

Solutions for Simple to Complex Trimalleolar Injuries

Trimalleolar fractures involve the lateral malleolus, the medial malleolus, and the posterior malleolus. See how Acumed Foot and Ankle products provide solutions to treat these often challenging cases. Watch video, see clinical and biomechanical evidence, and explore case studies.
Explore Acumed Trimal Fracture Solutions
Fibula Nail 2 System Overview Animation
An animated overview detailing the features and benefits of the Fibula Nail 2 System.
Product Training Series: Fibula Nail 2 Key Features

Upstream Product Manager, Daniel Cropper, highlights the key features of the Fibula Nail 2 System.

Fibula Nail 2 Surgical Lab with Roy W Sanders, MD
 In this video, Dr. Roy Sanders highlights his technique for installation of the Fibula Nail 2 with Tip-Loc Technology.

Key Features

The intramedullary nailing technique has been shown to result in less damage to the soft tissues and vascular supply as well as lower refracture rates when compared to ORIF.1
  • Minimally Invasive

    The nail is inserted in the distal fibula through a minimal incision. Screws are inserted by making stab incisions to protect the soft tissue envelope and preserve vascularity of the periosteum.

  • Rotation & Length Control

    Tip-Loc technology provides the option to lock the nail proximally, providing additional fixation within the canal.

  • Precontoured Design

    The nail has a five degree bend intended to accommodate the shape of the canal of the fibula.

  • Targeting Guide

    The radiolucent carbon fiber targeting guide aids in the correct placement of A/P screw, L/M screw, and syndesmotic stabilization.

  • Comprehensive Instrument Set

    The Fibula and Forearm Nail 2 Base Set contains start-to-finish solutions for implanting and explanting the Fibula Nail 2 or Ulna Nail 2.

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  1. Lee YH, Lee SK, Chung MS, Baek GH, Gong HS, Kim KH. Interlocking contoured intramedullary nail fixation for selected diaphyseal fractures of the forearm in adults. J Bone Joint Surg Am. 2008;90:1891–1898.

Comprehensive System

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The Acumed Fibula Nail 2 is designed to address simple, transverse, and short oblique fractures as well as osteotomies of the fibula.

The Fibula Nail 2 includes:

  • 12 nails offered in three diameters and four lengths including a small 2.6 mm diameter
  • 5° bend in the nail designed to accommodate the shape of the intramedullary canal
  • Power reamers and carbon fiber radiolucent targeting guides
  • Threaded holes within the nail
  • Two A/P and two L/M hole options
  • L/M holes angled 8° superior to avoid the joint space and allow for  syndesmotic reduction
  • Headless hexalobe screws aim to minimize soft-tissue irritation
  • Option to lock the nail proximally, providing additional fixation within the canal
The Fibula Nail 2 must be used in conjunction with the Acumed Fibula and Forearm Nail 2 Base Set, which contains universal instrumentation to implant the Fibula Nail 2, Ulna Nail 2 and screws.

Screws

Case Study

3.5 mm Nonlocking Hexalobe (8–65 mm) and 3.5 mm Headless Hexalobe (12–65 mm) Screws are both included in the system.

The 3.5 mm Headless Hexalobe screws lock into the threaded holes within the nail and are intended to create a low-profile construct to minimize soft -tissue irritation.

Optional Tip-Loc™ Bushing & Set Screw Kit

The Fibula Nail 2 offers the option to lock the nail proximally, providing additional fixation within the canal.

The Tip-Loc Bushing and Tip-Loc Set Screw sit centrally within the last 1.5" of the nail. These sterile packed implants are offered in 1 mm increments ranging from 6 mm through 16 mm in length.

Case Study

Optional End Caps

Case Study

End caps are offered in +0.4 mm, +5 mm, +10 mm, and +15 mm lengths and thread into the tail of the fibula nail.

End caps assist in limiting ossification over the end of the nail, making the nail threads easier to engage if removal is desired.

End caps also allow surgeons to create an intermediate nail length while adjusting for anatomic variances and screw trajectories.

Radiolucent Carbon Fiber Targeting Guides

Both the primary targeting guide, which aids in L/M screw placement, and secondary targeting guide, which aids in A/P screw placement, are radiolucent to allow for unimpeded viewing of the nail and screw positioning under fluoroscopy to ensure correct placement.

The targeting guide components were designed to allow assembly only in one orientation in order to simplify the process for the scrub tech.

Case Study

Drills

Case Study
The FFN Near Cortex and Far Cortex drills offer a streamlined method of preparing the canal for the Tip-Loc bushing.