Fixion Expandable Nail

The Fixion Expandable Nail is a revolutionary concept in intramedullary nailing.

The Fixion® IM Nail is expandable and does not require interlocking screws for intramedullary fixation. The Nail is inserted into the medullary canal in a narrow form. Once in position, the Nail is expanded to its intended diameter using saline solution and utilizing a pump. It is available for humerus, tibia and femur.


  • Expanded within the medullary canal with saline solution.
  • Inserted in a reduced diameter.
  • Adapts itself to the contours of the medullary canal (hour-glass shape).
  • Fixation is achieved along the entire length of the nail. Perfect positioning at fracture site.
  • Minimally Invasive Procedure.
  • Reaming is optional.
  • No interlocking screws required, thus reduced infection risk.
  • Minimized fluoroscopy exposure.
  • Reduced procedure time.
  • One entry point instead of 3 skin and tissue dissections performed in standard nailing surgeries.
  • In humeral procedures, reduced possibility of damaging the rotator cuff.
  • For humeral procedures, due to its geometry and reduced diameter, the same nail may be implanted in antegrade and retrograde approaches.
  • Reduce the possibility of nerve damage.
  • As the nail adapts to the intramedullary canal shape and diameter, a homogeneous fixation of the fracture is achieved and there are no transverse movements at the fracture site.
  • Immediate axial load transfer in-between the fracture fragments contributes to faster callus formation.
  • Significant advantages in treating  osteoporotic bone and pathological fractures.
  • Removal is easier (nail can be deflated).
  • Reduced inventory as expansion enables covering of a range of medullary canal diameters.


  • Nail is supplied in a reduced diameter configuration.
  • Nail is inserted into the medullary canal utilizing the insertion handle.
  • Once in position, the Nail is expanded to its intended diameter by inflation with saline solution, utilizing the pump.
  • Excellent fixation is achieved by the attachment of the four longitudinal bars of the Nail to the inner wall of the medullary cavity.


  1. Acute fractures of the humerus, tibia or femur which are 5cm below the surgical neck and 5cm proximal to the distal end of the medullary canal.
  2. Osteotomy.
  3. Nonunions and malunions.
  4. Long bone reconstruction following tumor resection, grafting and prophylactic nailing of impending pathological fractures.
  5. Revision procedures where other treatments and devices have failed.

Fixion IM Humeral Nail:
bend at first third





Available Lengths


for Isthmus



180 * , 200, 220, 240, 260, 280

7.0 - 8.0



8.0 - 10.0



10.0 - 12.0

*Special Order

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