Synthes The Titanium Femoral Nail System, Technique Manual

Page: 25 / 78

Standard Locking
(continued)
Lock proximally
For static locking, insert a 4.9 mm locking bolt or 5.0 mm
locking screw through the inferior, proximal hole in the nail.
For added rotational control, insert a second bolt or screw
through the dynamic slot. For subsequent, controlled axial
dynamization of the fracture, remove the static locking bolt
or locking screw at a later date.
For immediate dynamization, insert one proximal locking bolt
or locking screw through the proximal slot in the nail.
4
Drill through both cortices with the
4.0 mm calibrated drill bit, stopping
the drill immediately after penetrating
the far cortex. Confirm drill bit position
radiographically. Be sure the drill sleeve
is pressed firmly to the cortex, and read
direct locking bolt or locking screw
length from the calibrated drill bit at
the back of the drill sleeve.
Attach the Standard Aiming
Arm to the insertion handle.
Insert the triple trocar
assembly* into the handle
and through a stab incision
to bone. Remove the trocar.
* 11.0 mm /8.0 mm protection sleeve, 8.0 mm /4.0 mm drill sleeve,
and 4.0 mm trocar
24
Insert the triple trocar assembly*
Drill through both cortices