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

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Table of ContentsIntroductionFeatures 2AO/ASIF principles of internal fixation 7Indications 9Cases 10Retrograde approachOpening the distal femur 12Reaming (optional) 21Inserting nail 22Standard locking 27End cap insertion 32Spiral blade locking 33End cap insertion 39Freehand locking 40Interlocking with PAD for Expert RFN 47Antegrade approachOpening the proximal femur 52Reaming (optional) 61Inserting nail 62Standard locking 66End cap insertion 67Freehand locking 69Synthes 1
Page 4 and 5: Implant removal70ImplantsNails 75Lo
Page 6 and 7: Expert Retrograde/AntegradeFemoral
Page 8 and 9: Improved stabilityEnd Caps:- Self-r
Page 10 and 11: Preservation of blood supplyWhen th
Page 12 and 13: CasesCase 1Retrograde approach - st
Page 14 and 15: Retrograde approach -Opening the di
Page 16 and 17: Move the image intensifier toward t
Page 18 and 19: 5Determine entry pointThe entry poi
Page 20 and 21: Check the position under the image
Page 22 and 23: 7bOpen medullary canal - awlInstrum
Page 24 and 25: Retrograde approach -Inserting nail
Page 26 and 27: 2Insert nailUsing the insertion han
Page 28 and 29: If more insertion forces are necess
Page 30 and 31: 2Insert trocar combinationInstrumen
Page 32 and 33: Alternative instrument03.010.072 De
Page 34 and 35: Retrograde approach -End cap insert
Page 36 and 37: 2Insert spiral blade protection sle
Page 38 and 39: 4Measure for length of spiral blade
Page 40 and 41: Use light, controlled blows of the
Page 42 and 43: Retrograde approach -Freehand locki
Page 44 and 45: 4DrillInstrument03.010.101 Drill Bi
Page 46 and 47: 5Measure for length of locking scre
Page 48 and 49: 6Insert locking screwaInstruments03
Page 50 and 51: Distal standard lockingMount arm an
Page 52 and 53:
Proximal locking1Check alignment of
Page 54 and 55:
Antegrade approach -Opening the pro
Page 56 and 57:
Move the image intensifier toward t
Page 58 and 59:
4ApproachMake a longitudinal stab i
Page 60 and 61:
Thread the drill sleeve into the pr
Page 62 and 63:
7bOpen medullary canal - awlAlterna
Page 64 and 65:
Antegrade approach -Inserting nail1
Page 66 and 67:
2Insert nailUsing the insertion han
Page 68 and 69:
Antegrade approach -Standard lockin
Page 70 and 71:
Alternative instrument03.010.115 Gu
Page 72 and 73:
Implant removalFor R/AFN in retrogr
Page 74 and 75:
3Remove proximal locking screwsInst
Page 76 and 77:
5Remove nailInstrument03.010.056 Co
Page 78 and 79:
Expert Retrograde Femoral Nails 14
Page 80 and 81:
Expert Retrograde/Antegrade Femoral
Page 82 and 83:
Expert end caps with extension for
Page 84 and 85:
Locking Screws Stardrive 6.0 mm (a
Page 86 and 87:
357.340 Connecting Screw for Spiral
Page 88 and 89:
03.010.047 Connector, for Insertion
Page 90 and 91:
03.010.101 Drill Bit 4.2 mm, lengt
Page 92 and 93:
03.010.071 Trocar 5.0 mm, for 03.0
Page 94 and 95:
68.013.307 Vario Case for ExpertRet
Page 96 and 97:
DFN compatibility andinstrumentatio
Page 98:
To use the locking screws Stardrive
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Expert R/AFN Retrograde /Antegrade Femoral Nail. - Osteosyntese

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