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Intramedullary nail selection checklist

A practical checklist for matching an intramedullary nail, locking components, end caps and instruments as one system.

An intramedullary nail should be purchased as a complete system. The main nail, locking components, end cap and instrument set must be selected together.

Confirm the anatomical system

Start with the intended bone, approach and fracture configuration. Humeral, tibial, femoral and specialist nails use different geometries and component schedules.

Review the nail dimensions

  • Diameter range and sizing increments
  • Length range
  • Left or right configuration where applicable
  • Proximal and distal locking options
  • Available entry or approach-specific designs

Match the locking components

Confirm the locking screws, blades, lag screws and end caps used with the selected nail. Do not assume shared components across different nail families.

Check the instrument set

Ask for the tray contents, target devices, reaming and insertion instruments, and the relationship between the instrument set and the selected nail geometry.

Prepare the market configuration

Document the final catalogue references, quantity plan, sterile or non-sterile requirements and market-specific files with the quotation.