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

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2Insert spiral blade protection sleeve and drill sleeveInstruments03.010.081 Protection Sleeve 15.0/13.0,for Spiral Blade Locking, yellow03.010.082 Drill Sleeve 13.0 /3.2,for No. 03.010.081, yellowAssemble the protection sleeve and the drill sleeve. Insertthe sleeve combination into the aiming arm. Make a lateralstab incision and advance the sleeves to the bone.34 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide
3Insert guide wireInstrument03.010.115 Guide Wire 3.2 mm, length 290 mmInsert a guide wire through the sleeve combination into thefemoral condyles until the tip is flush with the medial cortex.Confirm guide wire position radiographically.Note: When monitoring the position of the guide wirein AP view, the trapezoidal shape of the condyles must betaken into account. It is recommended to slightly turnthe leg for a better view of the tip of the guide wire withrespect to the medial cortex. Thus, a too deep insertionof the guide wire may be prevented, and subsequent incorrectmeasurement.Remove the drill sleeve.Synthes 35
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 and 18: Place the radiographic ruler for na
Page 19 and 20: 6Insert guide wire7- 9ºInstruments
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: Retrograde approach -Spiral blade l
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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