38 DePuy Synthes Trauma Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique
Proximal locking— Proximal Segment fractures
monitor the position of the drill bit with image intensification.
this can be done by orienting the image intensifier
perpendicular to the drill bit.
drill to the desired depth. a long dual core locking screw
will achieve better bone purchase than a shorter dual core
locking screw.
Important:
Do not perforate the far cortex with the drill
bit. Do not damage the tibial plateau.
confirm drill bit position after drilling.
ensure that the drill sleeve is pressed firmly to the bone and
read the measurement from the calibrated drill bit at the
back of the drill sleeve.
this measurement indicates the appropriate length of the
dual core locking screw.
remove the drill bit and the drill sleeve.
Important:
To avoid perforation of the far cortex with
the dual core locking screw, a dual core locking screw
5 mm shorter than the measured length is recommended.
