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

Proximal locking1Check alignment of proximal aiming deviceInstruments03.010.129 Aiming Sleeve 12.0/8.0, with cross wires,length 188 mm03.010.xxxUsing the screwdriver (03.010.092) confirm that the connectingscrew between the insertion handle and the nail is welltightened.Insert the aiming sleeve through one of the desired holes inthe proximal aiming device (see markings for nails of length160, 180 or 200 mm). Make a stab incision and insert theaiming sleeve to the bone.Orient the image intensifier in the axis of the aiming sleeveand check the correct alignment, i.e. the cross wires of theaiming sleeve should be centred in the respective lockinghole of the nail.Remove the aiming sleeve.Two proximal locking screws: if alignment is correctFollow the procedure for guided locking described in section“Retrograde approach – Standard locking, steps 2 to 4”.Two proximal locking screws: if alignment is not correctRemove the proximal aiming device and follow the procedurefor freehand locking described in section “Retrogradeapproach – Freehand locking, steps 2 to 6”.50 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide