S2 Femoral Nail Compression Operative Technique - Stryker

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Operative Technique Incision The design of the implant allows for insertion either through the Tip of the Greater Trochanter (A) or the Piriformis Fossa (B). A Fig. 2 Tip of the Greater Trochanter (A) With experience, the Tip of the Greater Trochanter can be located by palpation (Fig. 2), and a skin incision is made beginning at the level of the Greater Trochanter extending proximal and slightly posterior to the Iliac Crest (Fig. 3). A Fig. 3 Piriformis Fossa (B) A skin incision is made beginning at the level of the Greater Trochanter extending proximal and slightly posterior, in line with the Gluteus Muscle, exposing the Piriformis Fossa for antegrade femoral nail insertion (Fig. 4). B Fig. 4 10
Operative Technique Entry Point The Tip (Medial Edge) of the Greater Trochanter (A) The medullary canal is opened with the Curved Awl (1806-0040) at the junction of the anterior third and posterior two-thirds of the Greater Trochanter, on the medial edge of the tip itself. Image intensification (A/P and M/L) is used for confirmation (Fig. 5). Piriformis Fossa (B) Alternatively, the implant may be introduced in the Piriformis Fossa, with a starting point just medial to the Greater Trochanter and slightly posterior to the central axis of the femoral neck (Fig. 6). Once the Tip of the Greater Trochanter or the Piriformis Fossa has been penetrated, the 3×1000mm Ball Tip Guide Wire (1806-0085S) may be advanced through the cannulation of the Curved Awl with the Guide Wire Handle (1806-1095 and 1806-1096) (Fig. 7). Fig. 5 Fig. 6 Unreamed Technique If an unreamed technique is preferred, the nail may be inserted with or without the Ball Tip Guide Wire. Fig. 7 11
Page 1 and 2: S2 Femoral Nail Compression Operati
Page 3 and 4: Contents Page 1. Introduction & Fea
Page 5 and 6: Introduction & Features S2 Femoral
Page 7 and 8: Indications & Relative Contraindica
Page 9: Operative Technique Patient Positio
Page 13 and 14: Operative Technique Nail Selection
Page 15 and 16: Operative Technique The Slotted Ham
Page 17 and 18: Operative Technique Note: The Targe
Page 19 and 20: Operative Technique When the Drill
Page 21 and 22: Operative Technique End Cap Inserti
Page 23 and 24: Operative Technique The Long Tissue
Page 25 and 26: Operative Technique Nail Removal Na
Page 27 and 28: Ordering Information - Implants 5mm
Page 29 and 30: Ordering Information - Instruments
Page 31 and 32: Ordering Information - Instruments

S2 Femoral Nail Compression Operative Technique - Stryker

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