46 DePuy Synthes Trauma Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique
Implant removal
4
attach appropriate extraction bolt or connecting screw to
the nail. remove the near nail fragment using the extraction
bolt or connecting screw.
Note:
The extraction hook can be used as an alternative
to extraction instrumentation.
5
ream the medullary canal 1 mm larger than the diameter to
clear a path for the distant nail fragment.
6
Insert the extraction hook and explanted, near nail fragment
into the medullary canal. the near nail fragment aligns the
extraction hook with the cannulation of the distant nail
fragment.
7
Pass the extraction hook through the cannula of the distant
nail fragment.
Note:
Under image intensification, verify that the hook
has passed through and engaged the distant end of
the nail.
8
extract both nail fragments.
Note:
Keep the patient’s limb restrained to increase the
efficiency of the extraction force.
