Introduction:
A Diaphyseal Segment Fragmentary Fracture is a break that happens in the middle shaft of a long bone (like the femur, tibia, humerus) where the bone splits into multiple pieces.Because the bone is broken into segments, it becomes unstable, and usually needs surgical fixation.
In this case study, we explore a successful Diaphyseal Segment Fragmentary Fracture treatment performed in Phaltan city of Maharashtra, India. This surgery conducted by expert’s team, involved the use of an Expert Tibia nail, demonstrating the efficiency of advanced orthopedic implants in addressing complex fractures. In this article we will explore patient’s condition, the surgical method, and the recovery outcome, emphasizing the role of advanced orthopedic implant design.
Case Overview:
At a medical center in Phaltan, Maharashtra, a complex tibial injury was managed by using Samay Surgical Pvt. Ltd.’s Expert Tibia Nail. The clinical team executed the procedure with precision, achieving a stable repair and setting the patient on a smooth recovery path.
Patient Profile
- Gender: Male
- Age: 30 years
- Weight: 70 kg
Injury Summary
The patient presented with a Diaphyseal Segment Fragmentary Fracture—a break involving several segments along the tibial shaft, typically requiring robust internal fixation.
Treatment Objective
- Restore natural bone alignment
- Achieve firm stabilization
- Enable functional mobility at the earliest safe stage
Preoperative Findings:
Radiological evaluation revealed multiple fracture segments in the midshaft region with loss of structural continuity. The Samay Surgical Pvt. Ltd.’s Expert Tibia Nail was chosen for its high mechanical strength and ability to support complex shaft injuries effectively.
Surgical Procedure:
A precise entry point was created at the proximal tibia, and a guidewire was advanced under fluoroscopy. After preparing the canal, Samay Surgical Pvt. Ltd.’s Expert Tibia Nail was inserted to realign and stabilize all fracture segments. Proximal and distal locking screws secured the construct, restoring length and rotational control. Final imaging confirmed perfect positioning, and the incision was closed, completing a smooth and efficient procedure.
Postoperative care:
The patient was monitored for swelling, pain, and circulation, with early physiotherapy started to maintain joint movement. Weight-bearing was introduced in stages as healing progressed and X-rays confirmed stable fixation around the Expert Tibia Nail. Overall recovery remained smooth, with steady improvements in mobility and comfort.
Recovery:
- After surgery, the limb is immobilized, swelling is controlled, and early physiotherapy begins to maintain joint mobility.
- Weight-bearing progresses gradually as the fracture shows stable healing on follow-up X-rays.
- Recovery usually takes 10–14 weeks, and the use of Samay Surgical’s precision-engineered orthopedic implants supports stronger fixation and smoother rehabilitation.
Implant specification:
| Implant | Material | Size |
|---|---|---|
| Expert Tibia Nail | Titanium GR.5 | 10mm*300mm |
| Interlocking Screw | Titanium GR.5 | 4.3mm*30mm |
| Titanium GR.5 | 4.3mm*32mm | |
| Titanium GR.5 | 4.7mm*34mm | |
| End Cap | Titanium GR.5 | 5mm |
Instrument set – Expert tibia instrument set:
The instrument set provided by Samay Surgical Pvt Ltd offers a complete range of precision-engineered tools, each crafted for quick and effortless assembly. Aligned with our philosophy of Advance Engineering with Excellency, this set is fully compatible with Samay Surgical Expert tibia nail systems, ensuring a smooth and efficient workflow during proximal, shaft, and distal tibial surgeries. Designed to support both left and right.
Surgeon feedback:
Samay Surgical Pvt Ltd consistently delivers a smooth and dependable surgical experience. The implants are strong and well-designed, and the instruments are easy to use and perfectly matched to the system. Together, Samay Surgical Pvt Ltd make the surgical process smoother, faster, and more reliable, leading to better outcomes for their patients.
Clinical outcome:
The patient achieved excellent fracture stability and alignment, supported by the reliability of Samay Surgical’s Expert Tibia Nail system. Rapid functional improvement and smooth rehabilitation reflected the strength and precision of Samay Surgical’s orthopedic solutions.
Frequently Asked Questions:
1. What is a Diaphyseal Segment Fragmentary Fracture?
It is a type of fracture where the mid-shaft of a long bone break into multiple segments, making the injury unstable and often requiring surgical fixation.
2. Which implant was used for treating this Diaphyseal Segment Fragmentary Fracture?
The Expert Tibia Nail from Samay Surgical Pvt Ltd was used to stabilize the multiple fracture segments.
3. What material is the Expert Tibia Nail made of?
It is manufactured using high-strength TT material, ensuring durability and biocompatibility.
4. Is Samay Surgical certified to international quality standards?
Yes. Samay Surgical holds globally recognized certifications that reflect its commitment to safety, precision, and consistent manufacturing excellence.
5. Why was an Expert Tibia Nail preferred over plates in this fracture?
The fracture had multiple bone segments, making nail fixation more stable than plates. Samay Surgical’s Expert Tibia Nail provides strong central support, better load sharing, and promotes faster functional recovery.
6. Is the Expert Tibia Nail suitable for all tibial fractures?
While it is ideal for shaft and segmental fractures, its use depends on fracture pattern, patient anatomy, and surgeon preference. In complex multi-segment injuries like this case, it is highly recommended.
7. What instruments are included in the Expert Tibia Instrument Set?
The set includes guidewires, reamers, targeting jig, insertion handle, locking drill sleeves, depth gauge, and screwdrivers—everything required for accurate tibial nailing.
8. How long does recovery usually take after tibia nailing?
Most patients recover within 10–14 weeks, depending on injury severity, bone healing response, and physiotherapy consistency.
9. What quality certifications does Samay Surgical hold?
Samay Surgical Pvt. Ltd. meets ISO 13485, ISO 9001, and CE/FDA-related compliance requirements, ensuring global-standard manufacturing, quality control, and patient safety.
10. How did Samay Surgical’s implant help in this case?
Samay Surgical’s Expert Tibia Nail offered exceptional strength, precise alignment, and reliable fixation, contributing to a smooth surgical procedure and faster recovery.
11. Is implant removal necessary in future?
Not always. If the patient is comfortable and healing is complete, the implant can remain in place. Removal is only recommended if pain, irritation, or surgeon-guided reasons arise.