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

Move the image intensifier toward the distal femur, alignthe proximal end of the ruler with the skin marking andrecord an AP x-ray of the distal femur. Check the reductionand read off the required nail length on the radiographicruler as it appears in the x-ray.Note: It is recommended that the tip of the nail is atleast 5 cm below the most distal extension of the fracturezone. The possibility of dynamisation must also be takeninto account when determining the nail length and acorrespondingly shorter nail should be chosen. The lockingscrew in the dynamic locking option can move by up to5 mm distally.AlternativesDetermine the nail length by the above procedure onthe uninjured leg or before draping (non-sterile) orcompare the length of two identical SynReam reamingrods 2.5 mm (352.032).54 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide