Synthes The Titanium Femoral Nail System, Technique Manual

Page: 56 / 78

Miss-A-Nail Locking
Reduce the neck
fracture
If the femoral neck fracture is
displaced, perform meticulous
reduction and temporarily
stabilize the fracture. Open
reduction may be necessary.
When using K-wires, place
them anterior and/or posterior
to the anticipated path of
the nail.
1
Identify dummy nail entry
point
Since the correct, standard nail entry
point is often posterior to the femoral
neck axis, it will usually allow room
for the Miss-A-Nail-placed anterior
cannulated screws.
However, consider each case
individually and move the point
slightly posteriorly if needed to
accommodate the screws.
Open the canal
Follow standard procedure
(pages 14 –16) to open the canal.
Use gentle technique to prevent
displacement or distraction of the
femoral neck fracture.
Note: Use of 13 mm –15 mm nails is not
recommended with Miss-A-Nail Locking.
The larger opening into the canal which
is required to accommodate the proximal
end of the nail may compromise stability
in the neck and trochanteric regions.
3
2
55
MISS-A-NAIL
L
OCKING