About This Product
The TN-ADVANCED™ Tibial Nailing System is a part of the Advanced Nailing System from DePuy Synthes. It has features that support infra-, supra-, and parapatellar approaches when treating tibial shaft fractures.
The system includes:
- 8-13 mm sterile tibial nails
- 4 & 5 mm locking screws
- Reaming rods
Outcomes & Evidence
TN-ADVANCED™ System Case Study
Read how the TN-ADVANCED™ Nailing System meets challenges in simple to complex fractures during the first cases completed in the U.S. using this system.
TN-ADVANCED™ System Value Analysis Brief
Get a deeper insight into the value that the features and design advancements in the TN-ADVANCED™ System provide to surgeons, patients, and admins.
Features & Benefits

Increased Stability
The TN-ADVANCED™ Nail increases construct stability while reducing the number of screws required (compared to conventional nails without polymer inlay).1,2

Intuitive Connected Instrumentation
This system is designed to reduce procedural complexity (compared to the EXPERT NAIL™ Tibial Nailing System) and support infra-, supra-, and parapatellar approaches.3*

Patient Satisfaction
Typically, 27-33% of patients complain of painful locking screws.5,6 Our locking implants are designed to reduce prominence in minimal soft tissue coverage areas7 for improved patient satisfaction.
Compare Products
Compare Products
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TN-ADVANCED™ Tibial Nailing System |
EXPERT NAILING SYSTEM™ Titanium Cannulated Tibial Nail |
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Diameters Available |
8, 9, 10, 11, 12, 13 mm | 8, 9, 10, 11, 12, 13 mm |
Lengths Available |
255, 270, 285, 300, 315, 330, 345, 360, 375, 390, 405, 420, 435, 450, 465 mm | 255, 270, 285, 300, 315, 330, 345, 360, 375, 390, 405, 420, 435 mm |
Screw Technology/ # of distal fixation options |
Secure retention screws, 4 screws distally, 5 screws proximally | StarDrive™ Screws, Angular Stable Locking Screws, Dual core locking screws, 5 screws proximally, 4 screws distally |
Special Features |
Polymer inlay, 4 mm screws only required in distal holes of 8 mm nail, Low Profile Screws with rounded tips, Universal design for left and right tibias | Universal design for left and right tibias |
Product Resources
Clinical Resources
Supply Chain Support
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