Synthes
43
Alternative Technique – Extraction Hook
For removal of broken nail
Instruments
355.399
◊
Extraction Hook, for Titanium Cannulated Nails
393.10 Universal Chuck with T-Handle
or
393.105 Small Universal Chuck with T-Handle
Begin with Steps 1 and 2 of Implant Removal, then remove
the extraction screw from the nail.
Option 1
1
Assemble extraction hook and universal chuck
Insert the extraction hook into the universal chuck with
T-handle. The hook should be parallel with the T-handle. This
facilitates visualization of the hook position in the bone.
2
Insert extraction hook through nail
Pass the extraction hook through the cannula of the nail,
including the distant fragment.
Note:
Under image intensification, verify that the hook has
passed through and engaged the distant end of the nail.
3
Extract nail
Extract both nail fragments.
Note:
Keep the patient’s limb restrained to increase the effi-
ciency of the extraction force.
