Retrograde intramedullary nail system with stable angular locking designed for distal tibial fractures. This innovative design was developed as an alternative to distal tibial plates and antegrade nails for the treatment of distal tibial fractures.
The DTN System consists of a series of 7 mm and 8 mm diameter nails inserted retrograde into the tibia through a distal tibial entry point. It combines the advantages of intramedullary nails — including minimally invasive insertion and reduced soft tissue injury — with the axial and rotational stability typically associated with plate fixation.
Stability is further enhanced by the arrangement of the locking screws: proximally in two planes and in the metaphyseal region in divergent planes. In addition, the threaded screw design allows fixed-angle fixation.
The heads of the locking screws engage the cortex, increasing construct stability while reducing discomfort along the medial aspect of the leg.
Distal tibial fractures up to 10 cm proximal to the tibiotalar joint.
AO/OTA 43 A1-3 fractures.
Soft tissue injuries that contraindicate plate fixation.
Proximal occupation of the medullary canal (e.g., knee prosthesis).
Innovative design with minimally invasive approach.
Angular locking with screws in divergent planes.
Retrograde insertion through the tibial malleolus.
Reduction of distal subcutaneous irritation.
Axial and rotational stability similar to plates.
System compatible with adult patients.
Variety of lengths and diameters.
Specific surgical instrumentation included.
Distal fixation with cortical screws.
Speak with our specialists, receive personalized assistance, and optimize your experience in the operating room with a solution designed for precision and confidence.
| DTN® - Distal tibial retrograde nail / DTN-00-0000-T-I | |||
|---|---|---|---|
| IMPLANTS | |||
| SYSTEM CODE | DTN-00-0000-T-I | ||
| SYSTEM DESCRIPTION | RETROGRADE TIBIAL NAIL IMPLANTS | ||
| REF. | DESCRIPTION | LENGTH (mm) | QTY |
| 3172-120 | RETROGRADE TIBIAL NAIL 7 MM X 120 120 MM, RIGHT, TITANIUM | 120 | 1 |
| 3168-150 | RETROGRADE TIBIAL NAIL 7 MM X 150 MM, RIGHT, TITANIUM | 150 | 1 |
| 3168-180 | RETROGRADE TIBIAL NAIL 7 MM X 180 MM, RIGHT, TITANIUM | 180 | 1 |
| 3168-210 | RETROGRADE TIBIAL NAIL 7 MM X 210 MM, RIGHT, TITANIUM | 210 | 1 |
| 3168-240 | RETROGRADE TIBIAL NAIL 7 MM X 240 MM, RIGHT, TITANIUM | 240 | 1 |
| 3168-270 | RETROGRADE TIBIAL NAIL 7 MM X 270 MM, RIGHT, TITANIUM | 270 | 1 |
| 3174-120 | RETROGRADE TIBIAL NAIL 8 MM X 120 120 MM, RIGHT, TITANIUM | 120 | 1 |
| 3170-150 | RETROGRADE TIBIAL NAIL 8 MM X 150 MM, RIGHT, TITANIUM | 150 | 1 |
| 3170-180 | RETROGRADE TIBIAL NAIL 8 MM X 180 MM, RIGHT, TITANIUM | 180 | 1 |
| 3170-210 | RETROGRADE TIBIAL NAIL 8 MM X 210 MM, RIGHT, TITANIUM | 210 | 1 |
| 3170-240 | RETROGRADE TIBIAL NAIL 8 MM X 240 MM, RIGHT, TITANIUM | 240 | 1 |
| 3170-270 | RETROGRADE TIBIAL NAIL 8 MM X 270 MM, RIGHT, TITANIUM | 270 | 1 |
| 3173-120 | RETROGRADE TIBIAL NAIL 7 MM X 120 120 MM, LEFT, TITANIUM | 120 | 1 |
| 3169-150 | RETROGRADE TIBIAL NAIL 7 MM X 150 MM, LEFT, TITANIUM | 150 | 1 |
| 3169-180 | RETROGRADE TIBIAL NAIL 7 MM X 180 MM, LEFT, TITANIUM | 180 | 1 |
| 3169-210 | RETROGRADE TIBIAL NAIL 7 MM X 210 MM, LEFT, TITANIUM | 210 | 1 |
| 3169-240 | RETROGRADE TIBIAL NAIL 7 MM X 240 MM, LEFT, TITANIUM | 240 | 1 |
| 3169-270 | RETROGRADE TIBIAL NAIL 7 MM X 270 MM, LEFT, TITANIUM | 270 | 1 |
| 3175-120 | RETROGRADE TIBIAL NAIL 8 MM X 120 120 MM, LEFT, TITANIUM | 120 | 1 |
| 3171-150 | RETROGRADE TIBIAL NAIL 8 MM X 150 MM, LEFT, TITANIUM | 150 | 1 |
| 3171-180 | RETROGRADE TIBIAL NAIL 8 MM X 180 MM, LEFT, TITANIUM | 180 | 1 |
| 3171-210 | RETROGRADE TIBIAL NAIL 8 MM X 210 MM, LEFT, TITANIUM | 210 | 1 |
| 3171-240 | RETROGRADE TIBIAL NAIL 8 MM X 240 MM, LEFT, TITANIUM | 240 | 1 |
| 3171-270 | RETROGRADE TIBIAL NAIL 8 MM X 270 MM, LEFT, TITANIUM | 270 | 1 |
| SYSTEM CODE | DTN-00-0000-0-O | ||
| SYSTEM DESCRIPTION | INSTRUMENTAL RETROGRADE TIBIAL NAIL | ||
| REF. | DESCRIPTION | LENGTH (mm) | QTY |
| 2626-024 | FASTENING SCREW, 3.8 MM X 24 MM, TITANIUM | 24 | 3 |
| 2626-026 | FASTENING SCREW, 3.8 MM X 26 MM, TITANIUM | 26 | 3 |
| 2626-028 | FASTENING SCREW, 3.8 MM X 28 MM, TITANIUM | 28 | 3 |
| 2626-030 | FASTENING SCREW, 3.8 MM X 30 MM, TITANIUM | 30 | 3 |
| 2626-032 | FASTENING SCREW, 3.8 MM X 32 MM, TITANIUM | 32 | 3 |
| 2626-034 | FASTENING SCREW, 3.8 MM X 34 MM, TITANIUM | 34 | 3 |
| 2626-036 | FASTENING SCREW, 3.8 MM X 36 MM, TITANIUM | 36 | 3 |
| 2626-038 | FASTENING SCREW, 3.8 MM X 38 MM, TITANIUM | 38 | 3 |
| 2626-040 | FASTENING SCREW, 3.8 MM X 40 MM, TITANIUM | 40 | 3 |
| 2626-042 | FASTENING SCREW, 3.8 MM X 42 MM, TITANIUM | 42 | 3 |
| 2626-044 | FASTENING SCREW, 3.8 MM X 44 MM, TITANIUM | 44 | 3 |
| 2627-024 | LOCKING FASTENING SCREW, 3.8 MM X 24 MM, TITANIUM | 24 | 3 |
| 2627-026 | LOCKING FASTENING SCREW, 3.8 MM X 26 MM, TITANIUM | 26 | 3 |
| 2627-028 | LOCKING FASTENING SCREW, 3.8 MM X 28 MM, TITANIUM | 28 | 3 |
| 2627-030 | LOCKING FASTENING SCREW, 3.8 MM X 30 MM, TITANIUM | 30 | 3 |
| 2627-032 | LOCKING FASTENING SCREW, 3.8 MM X 32 MM, TITANIUM | 32 | 3 |
| 2627-034 | LOCKING FASTENING SCREW, 3.8 MM X 34 MM, TITANIUM | 34 | 3 |
| 2627-036 | LOCKING FASTENING SCREW, 3.8 MM X 36 MM, TITANIUM | 36 | 3 |
| 2627-038 | LOCKING FASTENING SCREW, 3.8 MM X 38 MM, TITANIUM | 38 | 3 |
| 2627-040 | LOCKING FASTENING SCREW, 3.8 MM X 40 MM, TITANIUM | 40 | 3 |
| 2627-042 | LOCKING FASTENING SCREW, 3.8 MM X 42 MM, TITANIUM | 42 | 3 |
| 2627-044 | LOCKING FASTENING SCREW, 3.8 MM X 44 MM, TITANIUM | 44 | 3 |
| 3028-000 | DTN CAP, 0 MM, TITANIUM | 0 | 1 |
| 3069-000 | DTN CAP, 3 MM, TITANIUM | 3 | 1 |
| 3070-000 | DTN CAP, 6 MM, TITANIUM | 6 | 1 |
| ASSOCIATED INSTRUMENTS | |||
| SYSTEM CODE | DTN-00-0000-0-O | ||
| SYSTEM DESCRIPTION | INSTRUMENTAL RETROGRADE TIBIAL NAIL | ||
| REF. | DESCRIPTION | QTY | |
| 6221-000 | TIRAY MALLET | 1 | |
| 5204-000 | SIZING BLOCK FOR SCREWS, 3.5 MM | 1 | |
| 5602-000 | FLEXIBLE DRILL TIP 8.00 MM | 1 | |
| 5604-000 | FLEXIBLE DRILL TIP 9.00 MM | 1 | |
| 5603-000 | FLEXIBLE DRILL TIP 8.50 MM | 1 | |
| 5994-000 | DTN BLENDER FOR NAILS, Ø7 AND Ø8 | 2 | |
| 6224-000 | TIRAY EXTRACTOR BAR | 1 | |
| 5803-000 | SCREW FORCEPS #1 | 1 | |
| 5601-000 | FLEXIBLE DRILL BODY | 2 | |
| 10615-000 | RULER FOR TIBIAL RETROGRADE NAIL | 1 | |
| 8565-000 | DTN INTRAMEDULLARY GUIDE SET | 1 | |
| 5869-180 | REDUCTION FORCEPS 4.5 mm | 1 | |
| 8581-000 | DTN GUIDE | 1 | |
| 0336-250 | KIRSCHNER NAIL 2.0 MM X 250 MM, STAINLESS STEEL | 2 | |
| 0336-380 | KIRSCHNER NAIL 2.0 MM X 380 MM, STAINLESS STEEL | 2 | |
| 6062-000 | COMBINATION WRENCH #11-#15 | 1 | |
| 10253-000 | LONG T15 TORX SCREWDRIVER FOR TIBIAL RETROGRADE NAIL | 1 | |
| 6036-000 | CAPTOR CHUCK #2 | 1 | |
| 5620-000 | CANNULATED DRILL 7.0 MM | 1 | |
| 5621-000 | CANNULATED DRILL 8.0 MM | 1 | |
| 5622-000 | CANNULATED DRILL 9.0 MM | 1 | |
| 8773-000 | DTN PRESET DRILL BIT 3.0 MM X 0 300 MM | 2 | |
| 5615-200 | DRILL BIT 3.0 mm x X 200 mm | 2 | |
| 7466-000 | COMBINED TIRAY DRILL BIT GUIDE 3.0 / 4.5 MM | 1 | |
| 8552-000 | HANDLE FOR TIBIAL RETROGRADE NAIL GUIDE | 1 | |
| 8984-000 | IMPACT HANDLE FOR TIBIAL RETROGRADE NAIL | 1 | |
| 8553-000 | BUSHING 10-6.5 MM FOR TIBIAL RETROGRADE NAIL GUIDE | 3 | |
| 8555-000 | BUSHING 6.30-3.25 MM FOR TIBIAL RETROGRADE NAIL GUIDE | 3 | |
| 6201-020 | MALLET #2 | 1 | |
| 5419-020 | TRANSTIBIAL GUIDE 6.0 MM | 1 | |
| 5309-020 | TORX T-15 SCREWDRIVER | 1 | |
| PM 2022-08 / 2022-22 / 2022-53 | |||
