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PHILOS + PHILOS Long. - ShoulderDoc.co.uk

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6<br />

Determine the length of the proximal screws and predrill<br />

screw hole<br />

a. Using the Kirschner wire<br />

Check the position of the Kirschner wire. The tip of the Kirschner<br />

wire should be located in the subchondral bone (5–8 mm below<br />

the joint surface). Slide the Philos direct measuring device for<br />

Kirschner wire 1.6 mm over the Kirschner wire and determine the<br />

length of the required screw.<br />

Required instruments<br />

Philos Direct Measuring Device 323.060<br />

Depth Gauge 319.010<br />

Drill Bit 2.8 mm 310.284<br />

Remove the direct measuring device, the Kirschner wire, and the<br />

centering sleeve for Kirschner wire. Using a drill bit 2.8 mm,<br />

predrill the screw hole. Remove the drill bit and the drill sleeve.<br />

Alternative<br />

b. Using the depth gauge<br />

Remove the Kirschner wire and the centering sleeve for Kirschner<br />

wire. Using a drill bit 2.8 mm (310.284), predrill the screw hole<br />

through both <strong>co</strong>rtices. Remove the drill bit and the drill sleeve.<br />

Determine the screw length through both <strong>co</strong>rtices using<br />

the depth gauge. Deduct 10 mm from the measured reading.<br />

50<br />

60<br />

50 60<br />

9

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