18
Synthes
TFN – Titanium Trochanteric Fixation Nail System
Technique Guide
2
Insert nail
Instrument
357.411 Insertion Handle for TFN
For short nails (170 mm and 235 mm), orient the insertion
handle laterally, taking into consideration the anteversion of
the femoral head and neck. Manually insert the nail into the
femoral opening. When using a reaming rod, pass the can-
nulated nail over the reaming rod and into the femoral open-
ing.
Optional technique
Ensure correct anteversion of the nail by placing a guide wire
ventral to the femoral neck and into the femoral head.
Under image intensification, verify fracture reduction and
insert the nail as far as possible by hand. Use the insertion
assembly to manipulate the nail across the fracture.
When inserting a short nail, no hammer blows should
be required.
Insert Nail
