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

Retrograde approach –Reaming (optional)Reaming medullary canal (optional)Optional instruments189.060 SynReam Intramedullary Reaming System352.032 Reaming Rod 2.5 mm, with ball tip,length 950 mmIf necessary, enlarge the femoral canal with the medullaryreamer up to the desired diameter.Check fracture reduction under the image intensifier.Inserting the reaming rodInsert the reaming rod into the medullary canal.ReamingStarting with the diameter 8.5 mm, ream the medullarycanal in 0.5 mm increments. The holding forceps is used tocontrol the rotation of the reaming rod. Advance thereamer head with slight forward and backward movements.Do not use force. Continue reaming until the diameterof the canal is 0.5 to 1.5 mm larger than the nail diameter.Note: All Expert Retrograde /Antegrade Femoral Nailscan be inserted over the reaming rod. The tip of the reamingrod must be correctly positioned in the medullary canalsince it determines the final proximal position of the nail.Synthes 21