Synthes The Titanium Femoral Nail System, Technique Manual

Page: 63 / 78

Miss-A-Nail Locking
(continued)
Insert the second screw using
the same technique.
Insert the nail
Proceed with standard nail
insertion technique
(pages 21–25).
11
Insert the 5.0 mm
shaft screw
The surgeon may insert a
5.0 mm shaft screw through
the dynamic slot for a third
point of femoral neck
fracture fixation.
To insert the shaft screw,
attach the Specialty Aiming
Arm to the insertion handle.
Insert the 3.2 mm drill sleeve
into the aiming arm bushing
at the same angle as the
Miss-A-Nail-placed screws.
(When using the 130° angle,
use the 11.0 mm/8.0 mm
protection sleeve with the
drill sleeve.)
12
Insert the 3.2 mm calibrated
guide wire through the sleeve
and into the femoral head until
it is just short of subchondral
bone. Press the sleeve to the
lateral cortex, and read screw
length from the guide wire at
the back of the sleeve. This
measurement will place the
screw 5 mm from the guide
wire tip.
Remove the guide wire, select
a screw equal to or shorter
than the reading, and insert
the shaft screw with the
standard screwdriver.
62
Insert the second screw Drill for shaft screw
Insert the shaft screw