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

Retrograde approach –End cap insertionInsert end capInstrument03.010.110 Screwdriver Stardrive, T40, cannulated,length 300 mmAlign the Expert end cap, cannulated, with extension 0 mm(04.003.000) with the nail axis using the screwdriver.To minimise the chance of cross threading, turn the end capcounter-clockwise until the thread of the end cap aligns withthat of the nail. By turning clockwise, screw the end cap intothe nail and tighten it firmly.Alternative instrument03.010.115 Guide Wire 3.2 mm, length 290 mmInsert the guide wire into the distal end of the nail and pushthe end cap and the screwdriver over the guide wire.Follow the procedure described above.Note: The use of the end cap is mandatory. Besides enablingangular stability of the distal locking screw, it prevents boneingrowth into the distal end of the nail and, therefore, facilitatesnail removal.Remove the drill system, aiming arm and insertion handle(and guide wire if used).32 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide