To aid with the insertion of long nails, orient the insertion
handle anteriorly until the nail reaches the isthmus. As the
nail is advanced, rotate the handle so it is positioned laterally
for final seating. This will allow the bow of the long nails to
aid nail passage through the 6° laterally angled entry point.
For long nails, insertion can be aided by light hammer blows.
When using a hammer, monitor the tip of the nail using
image intensification. Verify that there is no evidence of im-
pingement distally.
Synthes
19
TFN – Titanium Trochanteric Fixation Nail System
Technique Guide
Synthes
19
