Expert R/AFN Retrograde /Antegrade Femoral Nail. - Osteosyntese

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5Determine entry pointThe entry point for the Expert Retrograde /AntegradeFemoral Nail is in line with the medullary canal. The point isat the top of the intercondylar notch, just anterior andlateral to the femoral attachment of the posterior cruciateligament.The entry point is determinant for the entire operation,especially for the optimal final position of the nail in themedullary canal respecting the anatomical conditions.This is mostly important for distal metaphyseal fracturesregarding correct fragment placement.mediallateral16 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide
6Insert guide wire7– 9ºInstruments357.127 Protection Sleeve 13.0,for retrograde approach357.128 Drill Sleeve 13.0 /3.2, with trocar tip,for retrograde approach, for No. 357.127393.100 Universal Chuck with T-Handle03.010.115 Guide Wire 3.2 mm, length 290 mmInsert the guide wire for approximately 10 to 15 cm in linewith the anatomic axis of the femur, which is 7 to 9ºin valgus, i.e. lateral to a line perpendicular to the articularsurface.Thread the drill sleeve into the protection sleeve. Insertthe assembly through the incision to the bone.Secure the guide wire in the universal chuck.Hold the protection sleeve firmly and insert the guide wirethrough the drill sleeve.Synthes 17
Page 3 and 4: Table of ContentsIntroductionFeatur
Page 5 and 6: Synthes 3
Page 7 and 8: Unique distal locking optionsThe un
Page 9 and 10: AO/ASIF principles ofinternal fixat
Page 11 and 12: IndicationsIndications for retrogra
Page 13 and 14: preoperativepostoperativepreoperati
Page 15 and 16: 3Measure for length and diameter of
Page 17: Place the radiographic ruler for na
Page 21 and 22: 7aOpen medullary canal - drill bitI
Page 23 and 24: Retrograde approach -Reaming (optio
Page 25 and 26: Check that the connecting screw is
Page 27 and 28: The correct insertion depth must be
Page 29 and 30: Retrograde approach -Standard locki
Page 31 and 32: 3Drill and measure for length of lo
Page 33 and 34: 4Insert locking screwInstrument03.0
Page 35 and 36: Retrograde approach -Spiral blade l
Page 37 and 38: 3Insert guide wireInstrument03.010.
Page 39 and 40: 6Insert spiral bladeInstruments03.0
Page 41 and 42: Retrograde approach -End cap insert
Page 43 and 44: 2Align image intensifierCheck the r
Page 45 and 46: Alternative instrument03.010.104 Dr
Page 47 and 48: Alternative instrument03.010.106 Di
Page 49 and 50: Retrograde Approach -Interlocking w
Page 51 and 52: Distal spiral blade lockingInsert s
Page 53 and 54: Final view of implanted Expert Retr
Page 55 and 56: 3Measure for length and diameter of
Page 57 and 58: Place the radiographic ruler for na
Page 59 and 60: 6Insert guide wireInstruments03.010
Page 61 and 62: 7aOpen medullary canal - drill bitI
Page 63 and 64: Antegrade approach -Reaming (option
Page 65 and 66: The anterior bow of the nail must b
Page 67 and 68: Alternative instruments03.010.047 C
Page 69 and 70:
Antegrade approach -End cap inserti
Page 71 and 72:
Antegrade approach -Freehand lockin
Page 73 and 74:
2Remove spiral bladeInstruments357.
Page 75 and 76:
4Attach extraction screw and hammer
Page 77 and 78:
ImplantsNailsAll implants are avail
Page 79 and 80:
Expert Retrograde/Antegrade Femoral
Page 81 and 82:
Locking implantsSpiral blades for E
Page 83 and 84:
Locking Screws Stardrive 5.0 mm (l
Page 85 and 86:
InstrumentsStandard instrumentation
Page 87 and 88:
03.010.030 Protection Sleeve 13.0,f
Page 89 and 90:
03.010.070 Trocar 4.0 mm, for No.
Page 91 and 92:
Optional instruments351.050 Tissue
Page 93 and 94:
Vario Case68.003.010 Vario Case for
Page 95 and 96:
Power tools530.010 Power Drive, com
Page 97 and 98:
DFN instrumentation upgrade356.980
Page 100:
Presented by:Ö036.000.519öAAJä03
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Expert R/AFN Retrograde /Antegrade Femoral Nail. - Osteosyntese

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