Implant Removal
Option 2
1
Remove near nail fragment
Attach the appropriate extraction bolt or connecting screw
to the nail. Remove the near nail fragment using the extraction
bolt or connecting screw.
Note:
The extraction hook can be used as an alternative to
extraction instrumentation.
2
Ream canal
Ream the medullary canal 1 mm larger than the nail diameter
to clear a path for the distant nail fragment.
3
Align extraction hook
Insert the extraction hook and explanted near nail fragment
into the medullary canal. The near nail fragment aligns the ex-
traction hook with the cannulation of the distant nail fragment.
4
Engage distant fragment
Pass the extraction hook through the cannula of the distant
nail fragment.
Note:
Under image intensification, verify that the hook has
passed through and engaged the distant end of the nail.
5
Extract nail
Extract both nail fragments.
Note:
Keep the patient’s limb restrained to increase the
efficiency of the extraction force.
44
Synthes
Titanium Trochanteric Fixation Nail System—Screw Option Technique Guide
