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Views: 0 Author: Site Editor Publish Time: 2026-01-26 Origin: Site
The Ramic Tibial Intramedullary Nail System is designed to support modern tibial intramedullary nailing techniques, including both suprapatellar and subpatellar approaches. The system has been marketed and clinically applied in multiple international regions for many years, demonstrating stable performance, surgical reliability, and compatibility with contemporary surgical workflows.
In addition to the tibial intramedullary nail system, Trauhui Ramic intramedullary portfolio also includes solutions for proximal femoral, distal femoral, femoral neck, radius and ulna, ankle arthrodesis, fibular and humeral applications, providing surgeons with a comprehensive and versatile range of intramedullary fixation options.
The standard instrument set is designed to support both suprapatellar and traditional infrapatellar surgical workflows.
Figure 1: Ramic Tibial Nail Instrument Set（Suprapatellar+Subpatellar）
The suprapatellar approach has become an important technique in modern tibial intramedullary nailing, particularly for proximal tibial fractures. The Ramic Tibial Intramedullary Nail System is specifically designed to support this approach.
Key advantages include:
Supine patient positioning with 10–20° knee flexion
Reduced tension in the rectus femoris and vastus intermedius
Easier access to the tibial entry point using guided sleeves
Improved control of fracture reduction
Excellent compatibility with fluoroscopic imaging
Recently, the first clinical application in Malaysia was successfully completed using the Ramic system via the suprapatellar approach. Orthopedic surgeons provided very positive feedback, confirming the system’s practicality, ease of use, and compatibility with modern surgical workflows. This milestone further validates the system’s consistency across different clinical environments.
After clinical application in Malaysia, surgeons provided the following feedback on the suprapatellar use of the Ramic Tibial Nail System:
“Suprapatellar nail system is very straightforward and user friendly. This approach allows better control of reduction with minimal quadriceps tension. The guided sleeve makes the entry point easy to approach. Patient positioning in supine with 10–20 degrees of knee flexion makes the entire operation smooth. The system is also very user friendly for the image intensifier.”
Figure 2: Intraoperative view of the suprapatellar approach
Figure 3: Final X-ray
Figure 4: Final X-ray
In addition to the suprapatellar technique, the Ramic Tibial Intramedullary Nail System also fully supports the traditional subpatellar (infrapatellar) approach. This well-established method remains a reliable option for routine tibial intramedullary nailing.
Compatible with standard infrapatellar surgical workflow
Clear and reproducible entry point
Stable nail insertion and locking performance
Suitable for tibial shaft fractures
The Ramic Tibial Intramedullary Nail System offers surgeons the flexibility to perform both suprapatellar and subpatellar approaches. Current clinical feedback from Malaysia demonstrates the system's effectiveness and ease of use via the suprapatellar approach, while the subpatellar approach remains a proven and reliable option supported by the same system.
