8 DePuy Synthes Trauma Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique
PreoPeratIve PlannIng
use the ao preoperative planner template for the tibial
nail–ex to estimate nail diameter and nail length. to estimate
nail diameter, place the template on the aP or lateral x-ray
of the uninjured tibia and measure the diameter of the
medullary canal at the narrowest part that will contain
the nail.
to estimate nail length, place the template on the aP x-ray
of the uninjured tibia and select the appropriate nail length
based on patient anatomy. When selecting nail size, consider
canal diameter, fracture pattern, patient anatomy, and post-
operative protocol.
Note:
Templates are available in two sizes: actual size
and 115% magnification in which the image is enlarged
15% to correspond to typical radiographic magnification;
however, variations in magnification levels are common.
