Successful treatment of a complex tibial fracture using expert-grade intramedullary nail and plate fixation

Introduction

Tibial fractures are among the most common lower-limb injuries, typically resulting from high-energy trauma such as traffic accidents. Successful treatment requires not only precise surgical skills but also reliable internal fixation systems to ensure long-term bone stability and early rehabilitation.

This case presents a successful tibial fracture treatment performed in Ciudad Guijora, Michoacán, Mexico, using a combination of an expert-grade intramedullary tibial nail and a one-third circular steel plate, resulting in excellent postoperative outcomes.

Case Overview

At the State Hospital in Ciudad Guijora, Director Benjamin's surgical team successfully treated a tibial fracture with CZMEDITECH implants. The patient made a favourable postoperative recovery.

After comprehensive evaluation, the surgical plan was to utilize an expert-grade tibial nail together with a steel plate to achieve both axial and lateral stability — a gold-standard fixation approach in modern trauma surgery.

Intraoperative

During surgery, the intramedullary nail provided axial fixation while the one-third circular plate enhanced lateral stability.

Postoperative Imaging

Postoperative radiographs showed excellent alignment and fixation integrity. The patient began gentle rehabilitation within weeks and achieved pain-free walking soon after.

Surgical Summary

Director Benjamin expressed satisfaction with the CZMEDITECH expert-grade tibial nail and one-third circular steel plate.

The nail-plate hybrid fixation is widely used for complex or osteoporotic fractures, offering:

Axial fixation via the nail

Lateral stabilization via the plate

Load distribution across fracture sites

Enhanced biomechanical stability

This approach minimizes complications such as implant loosening and supports faster functional recovery.

Implant Information

Devices used in this case:

Expert-grade Tibial Nail — 8×325 mm

One-third diameter 6-hole Plate

Made from medical-grade titanium alloy and stainless steel, these implants provide optimal strength, fatigue resistance, and biocompatibility.

The nail's multi-locking design ensures secure fixation, while its distal targeting system allows precise insertion, even in narrow canals.

Instrument Set

All instruments were supplied by CZMEDITECH, designed for easy assembly, precision alignment, and reduced surgical time. Their ergonomic design improved intraoperative handling and ensured smooth workflow.

               

Why Choose Nail-Plate Combination Fixation

The nail-plate combination offers dual-plane stability and is ideal for unstable or multi-segmental fractures.

It enables early weight-bearing, reduces stress on single implants, and prevents postoperative deformity.

This minimally invasive approach aligns with modern orthopedic trends — stable, safe, and functionally restorative.

Clinical Outcome

At 6-week follow-up, radiographic evidence showed complete healing progression. The patient achieved excellent functional recovery with no infection, hardware irritation, or delayed union.

This case demonstrates the reliability of CZMEDITECH orthopedic implants for international trauma surgery.

Why Nail-Plate Combination Fixation?

The nail-plate combination offers dual-plane stability and is ideal for unstable or multi-segmental fractures.

Frequently Asked Questions