Synthes
39
Insert End Cap
Insert end cap
Instruments
321.20 Ratchet Wrench, 11 mm width across flats
357.399 3.2 mm Guide Wire, 400 mm
357.406 5.0 mm Flexible Hexagonal Screwdriver
357.414 11 mm Cannulated Hexagonal Socket
357.415 5.0 mm Hexagonal Shaft
357.427 5.0 mm Hexagonal Screwdriver
Note the insertion depth of the nail as indicated by the rings
on the insertion handle. This will help in end cap selection.
Remove the connecting screw and insertion handle using
the ball hexagonal screwdriver or the cannulated shaft and
ratchet wrench.
Use of an end cap is recommended if bony ingrowth into
the proximal end of the nail is of concern. Also, for reverse
oblique intertrochanteric and high subtrochanteric fractures,
the nail should sit slightly proud of the greater trochanter to
provide an added point of fixation. If the nail has been over-
inserted, it should be extended by the use of an end cap of
appropriate length.
The end cap for the Titanium Trochanteric Fixation Nail
System is cannulated and can be inserted over a guide wire.
Place a 3.2 mm guide wire through the incision and into the
top of the nail. Select the appropriate end cap and slide the
end cap over the guide wire and into the top of the nail.
Place the 11 mm cannulated hexagonal socket over the
guide wire and onto the external hex of the end cap. Use
the 11 mm ratchet wrench to tighten the end cap. The top
of the end cap should protrude slightly from the top of the
trochanter when fully seated.
The 5.0 mm flexible hexagonal screwdriver, the 5.0 mm
hexagonal screwdriver, or the 5.0 mm hexagonal shaft and
ratchet wrench may also be used to insert the end cap with-
out the use of the guide wire.
