ITST IM Nail ST (97-22257-102-00).indd

ITST Intramedullary Nail Surgical Technique 5
Guide Wire Placement
On the back table, attach the 3.0mm
Bulb-tipped Guide Wire to the Wire Grip
T-Handle, and tighten (Fig. 5). The tip
of the Guide Wire may be bent to
approximately 45°, to facilitate fracture
reduction. Note: If using a cannulated
awl, the 3.0mm Bulb-Tipped Guide
Wire may be passed through the
cannulated awl without the 45° bend
(Fig. 6). Insert the Guide Wire through
the entry hole and manipulate it down
the proximal femur across the fracture
site. At the fracture site, manipulate the
Guide Wire under C-arm control (Fig. 7)
across the fracture site. An alternative
technique is to reduce the fracture
using the Reduction Instruments shown
in figure 8. Once in the distal canal,
pass the wire to the distal epiphyseal
scar. If reduction of the abducted and
flexed hip is difficult, place pressure on
the proximal fragment, either with the
hand or directly with a reduction rod
or other instrument.
Fig. 5
Wire Grip
T-Handle
Bulb-tipped
Guide Wire
Fig. 6
Fig. 7
Wire Grip
T-Handle
Fig. 8 Reduction Instruments
Reduction Finger
Balled Spiked Pusher
Bone Hook