Indications
The Zimmer Natural Nail System is intended for
temporary fracture fixation and stabilization of the
bone.
Indications for the Cephalomedullary Asia and Long
Nails include:
• Compound and simple shaft fractures
• Proximal, metaphyseal and distal shaft fractures
• Segmental fractures
• Comminuted fractures
• Fractures involving osteopenic and osteoporotic
bone
• Pathological fractures
• Fractures with bone loss
• Pseudoarthrosis, non-union, malunion and
delayed union
• Periprosthetic fractures
• Surgically created defects such as osteotomies
• Intertrochanteric and subtrochanteric fractures
Zimmer Natural Nail – Cephalomedullary Asia Nail Surgical Technique
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Contraindications
• A medullary canal obliterated by a previous
fracture or tumor
• Bone shaft having excessive bow or deformity
• Lack of bone substance or bone quality, which
makes stable seating of the implant impossible
• All concomitant diseases that can impair the
functioning and the success of the implant
• Infection
• Insufficient blood circulation
• Skeletally immature patients
Warning: This nail should only be used to treat a
periprosthetic fracture if the in situ device is firmly
fixed. When treating a periprosthetic fracture, the
nail should be positioned so that it does not come
in contact with the in situ device.