28
Synthes
Expert Tibial Nail
1
Distal locking
Use the appropriate locking screws and drill bit for the nail
diameter selected.
Nail Diameter
Locking Screw
Drill Bit
8 mm and 9 mm
4.0 mm
3.2 mm
(dark blue)
(dark blue)
03.010.100* or
03.010.103
10 mm to 13 mm
5.0 mm
4.2 mm
(light green)
(light green)
03.010.101* or
03.010.104
It is recommended to lock distally first, enabling the use of
the backstroke** technique to prevent diastasis. Verify the
nail has been inserted to the appropriate depth.
Locking of the tibial nail is usually performed from the medi-
al side, if possible with the leg extended. This position helps
counteract the forces exerted by the quadriceps muscle that
would tend to deform the proximal fragment and also facili-
tates rotational control of the tibial axis before locking.
Distal locking with the Radiolucent Drive (511.300) is
described below.
Note
: The use of the most distal locking option is recom-
mended for distal fractures. This locking option is oriented
30° from the Sagittal plane.
Distal locking
*
* For Radiolucent Drive
** Backstroke technique: with the hammer guide attached to the connector and
insertion handle (see page 23), light reverse hammer blows may be used to
compress the fracture; monitor reduction radiographically.
0X6.000.380_AC.qxp:0X6.000.380_AC 20.01.2009 10:31 Uhr Seite 28
