OBLI 2
OBLI 1
A/P
44
Synthes
Expert Tibial Nail
Proximal segment fractures
1
Oblique proximal locking
Proximal locking can be performed with the leg in full exten-
sion. This neutralizes the deforming forces on proximal frag-
ments caused by the quadriceps mechanism and relieves the
pressure on the soft tissue usually associated with tibial nail
insertion instruments. This position also facilitates assessment
of rotational alignment prior to locking.
Use the cancellous bone locking screws (gold) only in combi-
nation with the two oblique proximal locking holes (OBLI 1,
OBLI 2) and A/P proximal locking hole for all nail diameters.
Use the
3.2 mm drill bit (03.010.060 with blue and yellow
markings) for the cancellous bone locking screws (gold).
The aiming arm can target all three proximal oblique locking
options:
1. The oblique locking option (OBLI1) corresponds to the
most proximal locking position. Inserting an end cap
(04.004.000–04.004.003) with this locking screw will create
a fixed angle construct .
2. The oblique locking option (OBLI2) corresponds to the sec-
ond proximal locking position. Inserting an end cap
(04.004.004) with this locking screw will create a fixed angle
construct (OBLI 1 must be kept empty).
3. The oblique locking option in antero-posterior direction
(A/P) corresponds to the third proximal locking position.
Proximal locking
0X6.000.380_AC.qxp:0X6.000.380_AC 20.01.2009 10:31 Uhr Seite 44
