12 DePuy Synthes Trauma Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique
opening the tibia
6
Insert guide wire
Instrument
357.399
3.2 mm guide Wire, 400 mm
Slightly punch mark the insertion point at a 10° angle to
the shaft axis in the lateral view.
hold a sterile nail on the side of the lower leg with its distal
end parallel to the tibia shaft. the curved proximal nail end
determines the angle of insertion for the guide wire.
Insert the guide wire for approximately 8 cm–10 cm and
check the position under image intensification in the aP
and lateral views.
