Synthes The Titanium Femoral Nail System, Technique Manual

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Verify nail insertion
depth and rotation
Nail insertion depth dictates
Spiral Blade position in the
coronal plane.
Attach the Specialty Aiming
Arm to the Insertion Handle.
Insert the 8.0 mm/3.2 mm
wire sleeve into the aiming
arm, at the preoperatively
chosen Spiral Blade angle.
5
Insert the Spiral
Blade guide wire
Make a short incision under
the wire sleeve. Insert the
3.2 mm trocar into the wire
sleeve to bone. Remove the
trocar, and insert the 3.2 mm
guide wire into the sleeve.
Confirm direction and
position with AP and/or
lateral image.
6
44
Spiral Blade Locking
(continued)
Attach the Aiming Arm, then insert
the sleeve and trocar
The sleeve will act as a pointer.
Under AP image intensification,
further insert or withdraw the
nail until a line drawn through
the sleeve and into the femoral
head corresponds to the
desired Spiral Blade position.
Take a lateral image
intensification view of the
proximal femur to verify nail
rotation and ensure that the
Spiral Blade slot is aimed
toward the center of the
femoral head.