Synthes The Titanium Femoral Nail System, Technique Manual

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Adjust each sleeve bushing independently to obtain maximum screw spread
within the anatomic range of the femoral neck.
Adjust screw position
Insert the second 2.8 mm wire
sleeve into the inferior bushing
of the Miss-A-Nail jig.
Reposition the image intensifier
for an AP image of the proximal
femur. Independently adjust the
two bushings of the Miss-A-Nail
jig to maximize distance between
the screws while remaining
within the femoral neck.
Secure
the bushings to the jig using the
ratchet wrench with socket.
Notes:
•
If the patient is small-statured,
the surgeon may choose to place
only one screw through the jig
and subsequently place a second
screw through the nail.
•
If there is no room anterior to the
nail, the surgeon may place one
or two screws posterior to the
dummy nail by attaching the
Miss-A-Nail jig to the posterior
side of the aiming arm.
9
59
Insert the second 2.8 mm wire sleeve
32 mm
16 mm
MISS-A-NAIL
L
OCKING