Advanced Nailing System

Advanced Nailing System

The DePuy Synthes Advanced Nail System provides stability solutions to empower you and your patients to do more.

With a growing fragility fracture population1-3, the Advanced implants are specifically designed to address the challenges of reduction and fixation as well as the importance of early mobilization in compromised bone.4,5

The Advanced Implant family provides solutions for simple to complex cases.6-10 Shared base instruments provide consistency to support reduction in storage, duplication and staff learning.1

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Increased Fixation/Stability Solutions

Tibial Nail Advanced System

Tibial Nail Advanced System (TN-Advanced™ System)

  • Multiplanar Extensive Locking Options
  • Angular Stability
Retrograde Femoral Nailing System

Retrograde Femoral Nailing System (RFN-Advanced™ System)

  • Multiplanar Pattern
  • Angular Stability
  • Locking Attachment Washer
Femoral Recon Nail System

Femoral Recon Nail System (FRN)

  • Multiple Locking Options Proximally and Distally
TFN-ADVANCED™ Proximal Femoral Nailing System

TFN-ADVANCED™ Proximal Femoral Nailing System (TFNA)

  • Helical Blade
  • Augmentation
  • Pre-assembled Locking Mechanism


  1. Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8):691-697.  
  2. Lems WF, Raterman HG. Critical issues and current challenges in osteoporosis and fracture prevention. An overview of unmet needs. Therapeutic   Advances in Musculoskeletal Disease. 2017, Vol. 9(12) 299–316.
  3. DePuy Synthes, Average Age of Patients with Tibial Fractures. 8/20/2020. Windchill #0000306158
  4. Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal Fixation.  3rd ed. Berlin, Heidelberg, New York: Springer. 1991.
  5. Buckley RE, Moran CG, Apivatthakakul T. AO Principles of Fracture Management: 3rd ed. Vol. 1: Principles, Vol. 2: Specific fractures.Thieme; 2017.
  6. DePuy Synthes, RFN-Advanced Retrograde Femoral Nailing System Instructions for Use.  2020. Windchill #07964/GP3113.  Agile Document #SE_793149
  7. DePuy Synthes, Tibial Nail Advanced System Instructions for Use. 2020. Windchill #14382/GP3114.  Agile Document # SE_793150 
  8. DePuy Synthes, Femoral Recon Nail Instructions for Use. 12/05/2017. Windchill #500059335/GP3014, 12/18/2019. Agile Document # SE_793147
  9. DePuy Synthes, Trochanteric Fixation Nail-Advanced System Instructions for Use. 10/04/2017. Windchill #GP2920 12/18/2019. Agile Document # SE_793148
  10. DePuy Synthes, TRAUMACEM V+ Injectable Bone Cement, Sterile Instructions for Use. 08/26/2020. Windchill #GP2997, 02/10/2020. Agile Document #SE_295424
  11. DePuy Synthes Advanced  Nail System Instrument  Summary. 09/30/2020.  Windchill Document  #0000302373

Please refer to the instructions for use for a complete list of indications, contraindications, warnings and precautions.