Synthes The Titanium Femoral Nail System, Technique Manual

Page: 61 / 78

Miss-A-Nail Locking
(continued)
Insert the screws
Make a stab incision under one
wire sleeve. Insert the 2.8 mm
trocar into the sleeve to bone
and remove the trocar.
Insert the 2.8 mm guide wire
through the sleeve and into
the femoral head. Allow the
wire to “pull” itself into bone.
Excessive axial force can
cause wire misdirection.
10
Insert the second guide wire
using the same technique.
Remove all instrumentation
and the stabilization wire,
leaving only the guide wires
in place.
Slide the cannulated screw
sleeve assembly* over one
guide wire.
*
The 8.5 mm/2.8 mm wire sleeve and
12.0 mm/8.5 mm protection sleeve
60
Insert trocar Insert a 2.8 mm guide wire
Insert the second guide wire and
remove instrumentation Slide sleeve assembly over guide wire