Insert Nail
14
Synthes
Titanium Trochanteric Fixation Nail System—Screw Option Technique Guide
1
Assemble insertion instruments
Instruments
357.397 Cannulated Connecting Screw
357.406 5.0 mm Flexible Hexagonal Screwdriver
357.411 Insertion Handle
357.515 Ball Hexagonal Screwdriver, 8 mm
Optional instruments
357.418 Percutaneous Insertion Handle
357.419 Percutaneous Cannulated Connecting
Screw
The sterile nail is packaged with a protective plug in
the proximal end of the nail. Remove and dispose of
the plug.
Orient the insertion handle laterally and match the geometry
of the handle to the nail.
Note:
For long (300 mm to 460 mm) nails, the bow of the
nail must be aligned with the anterior bow of the femur.
Also confirm left or right nail is being assembled for correct
affected limb.
Pass the cannulated connecting screw through the insertion
handle and into the nail. Secure using the ball hexagonal
screwdriver.
To verify the appropriate position of the locking mechanism
for the screw, pass the 5.0 mm flexible hexagonal screw-
driver through the cannulated connecting screw and turn
counterclockwise until it stops.
Important:
Ensure that the connecting screw is tight to
avoid misalignment when inserting the screw through the
aiming arm. Do not attach the aiming arm to the handle
until after the nail is fully inserted.
