Synthes The Titanium Femoral Nail System, Technique Manual

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Lock distally
For distal locking techniques, see pages 64 –65.
8
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 visible due
to the difference in nail and
insertion handle diameters.
If the nail end is level with
the tip of the greater
Place the blue end cap (required)
The 15 mm collar of the blue end cap statically locks the blue sleeve
to the nail. Upon final seating of the end cap, the UHMWPE* tip
deforms around the blade edge, further securing the Spiral Blade
during the nonweightbearing period.
9
trochanter, select the blue end
cap with 0 mm extension.
If the nail end is not visible,
remove the aiming arm, 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.
49
* Ultra High Molecular Weight Polyethylene implant material
Note position of proximal nail end
SPIRAL
BLADE
LOCKING