The entry point is located at the
junction of the anterior third and
posterior two-thirds of the greater
trochanter on the medial edge of the tip
itself (Fig. 6).
Note:
Before opening the tip of greater
trochanter, image intensifi er
views (A/P and M/L) should
be used to confi rm correct
identifi cation of the entry point.
The medullary canal can be opened
with the
• Curved Awl/Curved Awl, 90°
Handle or
• One Step Conical Reamer.
Note:
Dense cortical bone may block
the tip of the Awl during opening
of the entry portal. Inserting
fi rst the optional Awl Plug into
the Awl will avoid penetration of
bone debris into the cannulated
Awl shaft. The Awl Plug is
then removed for Guide Wire
insertion.
• Entry point with Curved Awl
Once the tip of the greater trochanter
has been opened (Fig. 7a), the
Ø3 × 1000mm Ball Tip Guide Wire
may be advanced through the
cannulation of the Curved Awl with
the Guide Wire Handle and Chuck
(Fig. 7b).
The proximal femur may then be
prepared with the One Step Conical
Reamer.
anterior
posterior
1
/
3
2
/
3
Fig. 6
Fig. 7a
Fig. 7b
Operative Technique
Entry Point
• The Tip of the
greater Trochanter
12
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