Proximal Locking
30
Synthes
Titanium Trochanteric Fixation Nail System—Screw Option Technique Guide
Optional technique: Interfragmentary compression
Instruments
357.406 5.0 mm Flexible Hexagonal Screwdriver
321.17 4.5 mm Pin Wrench
Once the screw has been locked in rotation, interfragmen-
tary compression can be obtained. Advance the compression
nut until it abuts the blade guide sleeve. At this point, inter-
fragmentary compression can be obtained by turning either
the buttress/compression nut (attached to the blade guide
sleeve) or the compression nut (attached to the screw in-
serter/extractor) clockwise by hand or with the assistance of
the 4.5 mm pin wrench.
Remove the coupling screw from the screw and inserter. If
the connecting screw cannot be loosened by hand, use the
5.0 mm flexible hexagonal screwdriver to loosen the connec-
tion. Remove the blade guide sleeve from the aiming arm by
depressing the button on the aiming arm and pulling out the
blade guide sleeve.
