Synthes The Titanium Femoral Nail System, Technique Manual

Page: 37 / 78

With the insertion handle in
place, take an AP image
intensification view of the
proximal femur. Note the
position of the proximal nail
end in relation to the tip of
the greater trochanter. The
nail end should be apparent
due to a difference in nail and
insertion handle diameters.
If the nail end is level with the
tip of the greater trochanter,
select the pink 15 mm end
cap with 0 mm extension.
If the nail end isn’t visible,
place a 3.2 mm guide wire
through the hole in the
insertion handle, and note
wire position on the image
intensifier. This is the level
of the proximal nail end. The
etched line on the insertion
handle is also at the level
of the proximal nail end.
If the proximal nail end is
distal to the tip of the greater
trochanter, note the position
of the insertion handle barrel
in relation to the tip of the
greater trochanter on the
image.
•
If the indented ring is
at the tip of the greater
trochanter, use the pink
15 mm end cap with
10 mm extension.
•
If the base of the flare
is at the tip of the greater
trochanter, use the pink
15 mm end cap with
20 mm extension.
36
130
°
Antegrade Locking
(continued)
Place the pink end cap
9
Note position of proximal nail end
Example showing indication for
10 mm extension end cap.