Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique DePuy Synthes Trauma 47
Implant removal
For removal of an intact nail
Instruments
355.399
◊
extraction hook, for titanium cannulated
nails
393.10
universal chuck with t-handle
or
393.105
Small universal chuck with t-handle
1
clear tissue from the end of the nail and remove the end cap.
2
remove the locking bolts and/or screws with the appropriate
screwdriver.
3
Insert the extraction hook into the universal chuck with
t-handle. the hook should be parallel with the t-handle.
this facilitates visualization of the hook position in the bone.
4
Insert the extraction hook through the nail cannula.
Note:
Under image intensification, verify that the hook
has passed through and engaged the distant end of
the nail.
5
extract the nail.
Note:
Keep the patient’s limb restrained to increase the
efficiency of the extraction force.
◊
available nonsterile or sterile-packed. add “S” to product number to indicate
sterile product.
