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S2 Femoral Nail Compression Operative Technique - Stryker

S2 Femoral Nail Compression Operative Technique - Stryker

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<strong>Operative</strong> <strong>Technique</strong><br />

Entry Point<br />

The Tip (Medial Edge) of the<br />

Greater Trochanter (A)<br />

The medullary canal is opened with<br />

the Curved Awl (1806-0040) at the<br />

junction of the anterior third and<br />

posterior two-thirds of the Greater<br />

Trochanter, on the medial edge of the<br />

tip itself. Image intensification (A/P<br />

and M/L) is used for confirmation<br />

(Fig. 5).<br />

Piriformis Fossa (B)<br />

Alternatively, the implant may be<br />

introduced in the Piriformis Fossa,<br />

with a starting point just medial to the<br />

Greater Trochanter and slightly posterior<br />

to the central axis of the femoral<br />

neck (Fig. 6).<br />

Once the Tip of the Greater Trochanter<br />

or the Piriformis Fossa has<br />

been penetrated, the 3×1000mm Ball<br />

Tip Guide Wire (1806-0085S) may be<br />

advanced through the cannulation of<br />

the Curved Awl with the Guide Wire<br />

Handle (1806-1095 and 1806-1096)<br />

(Fig. 7).<br />

Fig. 5<br />

Fig. 6<br />

Unreamed<br />

<strong>Technique</strong><br />

If an unreamed technique is preferred,<br />

the nail may be inserted with or without<br />

the Ball Tip Guide Wire.<br />

Fig. 7<br />

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