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Figure 33
Figure 34
Figure 35
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Attach the 3/8˝ IM Drill to the Universal Driver and
create a hole in the location determined by the pre-
operative X-rays to align with the IM canal .
24
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Attach the T-Handle Driver to the 5/16˝ IM Rod
and slowly pass into the canal, ensuring clearance .
Remove the 5/16˝ IM Rod and insert it into the body
of the Tibial Alignment Jig IM . The assembly is then
inserted into the canal beyond the isthmus to the
physeal scar of the ankle if possible .
Rotational Alignment
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With the body of the Tibial Alignment Jig IM resting
on the proximal tibia, proper rotational alignment is
achieved by rotating the instrument about the 5/16˝
IM Rod so that the vertical mounting bar is at the
junction of the medial and middle 1/3rd of the tibial
tubercle . A Headless Pin or the 1/8˝ Drill is then
inserted into the fixation hole to fix rotation (See
Inset) .
Tibial Preparation
Step 1B: Tibial Preparation: Intramedullary (IM) Referencing
Tibial
Preparation
Fixation
Hole
Mounting
Bar