VERSANAIL Tibial Nailing System Surgical Technique - Biomet

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NAIL INSERTION 6 Ensure that “centre” is visualised on the top of the jig before inserting the nail. Fig. 12 Jig Options and Assembly Depending on surgeon preference, two jig styles are available. Option 1: The low-profile jig (Cat. No. 2810-12-007) is designed to avoid patellar impingement for those who prefer a low-profile approach (Fig. 12). Fig. 13 Place the nail onto the jig nose attachment point in the correct orientation, with the distal bend toward the jig. Insert the jig bolt (Cat. No. 2810-12-008) and tighten in a clockwise direction using the cannulated jig bolt driver (Cat. No. 2810-01-011), which is connected to the T-handle hudson (Cat. No. 2810-01-004) (Fig. 13). Fig. 14 Option 2: The extended tibia jig (Cat. No. 2810-12-003) offers an extended jig nose for those who prefer a percutaneous surgical approach; however, this jig is also useful through standard nailing approaches (Fig. 14). Fig. 15 Place the nail onto the jig nose attachment point in the correct orientation, with the distal bend toward the jig (Fig. 15). Insert the extended tibia jig bolt (Cat. No. 2810-12-004) and tighten either manually or with a 3/4 in. wrench in a clockwise direction.
The cannulation of the nail will accept the DePuy ball nose guide wire. An exchange tube is not necessary. Fig. 16 Nail Insertion Insert the nail over the 3 mm ball nose guide wire into the medullary canal (Fig. 16). Take care not to strike the jig or targeting arm with the mallet. Instead use the hammer pad. Avoid excessive force when inserting the nail. If the nail jams in the medullary canal, extract it and choose the next-smaller diameter nail or prepare the canal appropriately. Ensure that the push button is tightened securely to the barrel lock mechanism, using the jig bolt driver (Cat. No. 2810-01-011). Fig. 17 Confirm fracture reduction and ensure appropriate nail insertion depth proximally and distally with bi-planar fluoroscopy (Fig. 17). Verify nail position to ensure that it has not rotated during insertion. The bevel on the nail’s proximal end should be centred on the tibia. Fig. 18 If using dynamic locking, countersink the nail by at least 7 mm to avoid impingement in the knee joint. The jig nose is marked by two grooves to indicate static and dynamic placement (Fig. 18). Seat the nail to the proximal groove for dynamic locking and to the distal groove for static locking. Once the nail has been inserted, remove the ball nose guide wire. Fig. 19 Locking Prior to locking both proximally and distally, compress the fracture and check rotational alignment. The nail can be locked either distally or proximally first, depending on surgeon preference. Proximal Locking Using The Low-Profile Jig: Target both oblique holes with the jig (Fig. 19). Use the targeting arm to target the transverse M/L dynamisation slot (Cat. No. 2810-12-007). INSERTION/LOCKING 7
Page 1 and 2: S U R G I C A L T E C H N I Q U E T
Page 3 and 4: MADE EASY The DePuy Trauma and Extr
Page 5 and 6: Fig. 3 Fig. 4 Patient Positioning P
Page 7: Read the measurement from the etch
Page 11 and 12: Fig. 24 Place proximal 5.5 mm corti
Page 13 and 14: far cortex X Y A compensation facto
Page 15 and 16: Blocking Screw Technique Blocking s
Page 17 and 18: VERSANAIL PLATFORM VERSANAIL PLATFO
Page 19 and 20: NAIL REMOVAL DISPOSABLES-STERILE DI

VERSANAIL Tibial Nailing System Surgical Technique - Biomet

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