Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique DePuy Synthes Trauma 27
ProxImal lockIng—
dIaPhySeal and dIStal Segment fractureS
1
Choose locking screws and instruments
use the correct locking screw, drill sleeve, trocar and drill bit
for the selected nail diameter, as shown in the table.
three proximal ml locking options can be targeted using
the aiming arm:
1
the dynamic locking option (dynam) corresponds to
the upper position of the proximal locking slot. this type
of locking allows primary compression or secondary,
controlled dynamization of the bone fragments.
2
Static 2 (Stat 2) corresponds to the lower position of the
proximal locking slot. this type of locking does not allow
primary compression or secondary controlled dynamization.
3
Static 1 (Stat 1) corresponds to the most distal proximal
locking hole.
Nail Diameter
Locking Screws Protection Sleeve
Drill Sleeve
Trocar
Calibrated Drill Bit
8 mm and 9 mm 4.0 mm
12.0 mm/8.0 mm
8.0 mm/3.2 mm
3.2 mm
3.2 mm
(blue)
(blue)
03.010.063
03.010.064
03.010.069 03.010.060
10 mm–13 mm
5.0 mm
12.0 mm/8.0 mm
8.0 mm/4.2 mm
4.2 mm
4.2 mm
(green)
(green)
03.010.063
03.010.065
03.010.070 03.010.061
dynam
Stat 2
Stat 1