Synthes The Titanium Femoral Nail System, Technique Manual

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Insert the nail
Manually insert the nail into
the femoral opening using a
twisting hand motion, with
the insertion handle oriented
laterally. Verify fracture
reduction, and insert the nail
as far as possible by hand.
Monitor nail passage across the
fracture under image intensifi-
cation and use the insertion
assembly to manipulate the
nail across the fracture.
2
For cannulated nails:
Insert the nail over the 2.5 mm
Reaming Rod. The rod will pass
through the opening in the side
of the insertion handle.
Seat the nail
Using light blows of the hammer,
seat the nail into the distal metaphysis,
leaving the proximal nail end at or
just below the level of the tip of the
greater trochanter. When nail over-
insertion is required, the surgeon
may exchange the nail or extend nail
length with a green 12 mm end cap
(see “Place the green end cap,”
pages 26 –27).
If the nail has been inserted over a
2.5 mm Reaming Rod, remove the
reaming rod.
Note: During insertion of a cannulated
nail, the Cannulated Shaft may be used
to retighten the connecting screw,
as needed.
3
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Insert the nail Insert the cannulated nail over the
reaming rod
Seat the nail
ST
ANDARD
LOCKING