Synthes The Titanium Femoral Nail System, Technique Manual

Page: 59 / 78

Verify position in lateral view
Miss-A-Nail Locking
(continued)
Adjust for anteversion
Readjust the image intensifier for
a lateral view of the proximal
femur. (The black portion of the
aiming arm is partially radiolucent.)
Rotate the insertion handle around
the dummy nail until the wire
sleeve is directed safely through
the center of the femoral neck
and into the femoral head.
7
Insert the
stabilization wire
Holding the correct axial and
rotational position of the insertion
assembly, insert the blue 3.2 mm
wire sleeve through the aiming
arm at the same angle as the
Miss-A-Nail jig. Make a stab
incision under the wire sleeve,
and insert a 3.2 mm calibrated
guide wire through the slot of the
dummy nail and into the femoral
head. This will temporarily hold
the instrument assembly in
position and further stabilize
the neck fracture.
8
58
Advance the 3.2 mm stabilization wire