20
Synthes
TFN – Titanium Trochanteric Fixation Nail System
Technique Guide
Instruments
321.200 Ratchet Wrench for Nut, hexagonal,
11.0 mm
321.250 Spanner Wrench, for Nos. 357.180,
357.181, 359.201 and 359.219
357.220 Hammer Guide, for No. 357.250
357.250 Slide Hammer,
for Nos. 357.220 and 357.221
357.395 Connector for TFN, for No. 357.411
357.398 Shaft, hexagonal
8.0 mm, cannulated,
short, length 125 mm
To use a hammer, slide the connector into the grooves on the
insertion handle and secure it in place using the 11 mm
ratchet wrench or spanner wrench. A free hammer can be
used to strike the connector directly. If desired, the slide
hammer and hammer guide can be threaded into the driving
cap and light blows used to seat the nail. Remove the con-
nector once the nail has been seated.
Important:
Confirm that the nail is tightly connected to the
insertion handle, especially after hammering. The cannulated
shaft with 8 mm hex and 11 mm ratchet wrench may be
used to retighten the connecting screw over the reaming rod
as needed.
If a reaming rod has been used, it should be removed once
the nail has crossed the fracture site.
Insert Nail
