Open Proximal Femur
12
Synthes
Titanium Trochanteric Fixation Nail System—Screw Option Technique Guide
6
Open canal
Instruments
351.05 Tissue Protector
357.394 17.0 mm Cannulated Drill Bit
357.399 3.2 mm Guide Wire, 400 mm
357.412 Cannulated Reverse Awl
Place the 17.0 mm cannulated drill bit into a power drill. Pass
the drill bit over the guide wire and through the protection
sleeve to the bone. Drill to the stop.
Note:
If the fracture line runs through the entry point for
the nail, care must be taken to remove the bone on the
medial fragment to create a path for the nail. Do not plunge
the drill bit through the fracture as this may displace the frac-
ture and cause the fracture to be fixed in varus. Take care to
remove the bone on the medial segment of the fracture to
prepare an adequate opening for the proximal end of
the nail.
When the 17.0 mm drill bit is removed, the 3.2 mm guide
wire may be captured and removed simultaneously. If the
guide wire remains in the bone, remove it by hand.
Dispose of the guide wire. Do not reuse.
Note:
The cannulated reverse awl may also be used to open
the canal or expand the opening created by the 17.0 mm
drill bit. Use the tissue protector to spare the soft tissues.
Place the awl over the guide wire and to the bone. Use a
twisting motion to advance the awl. As with the cannulated
drill, take care not to plunge the awl into the fracture site be-
cause this may displace the fracture and cause the fracture to
be fixed in varus. Take care to remove the bone on the me-
dial segment of the fracture to prepare an adequate opening
for the proximal end of the nail.
