S2 Femoral Nail Compression Operative Technique - Stryker
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 />
Reamed <strong>Technique</strong><br />
If the procedure will be performed<br />
using a reamed technique, the<br />
3×1000mm Ball Tip Guide Wire is<br />
inserted with the Guide Wire Handle<br />
through the fracture site to the level of<br />
the Epiphyseal Scar or the mid-pole of<br />
the Patella. The Ø9mm Universal Rod<br />
(1806-0110) with Reduction Spoon<br />
(1806-0125), may be used as a fracture<br />
reduction tool to facilitate Guide<br />
Wire insertion through the fracture<br />
site (Fig. 8 & 9). The Guide Wire tip<br />
should lie in the center of the metaphysis<br />
in the A/P and M/L views to<br />
avoid offset reaming.<br />
Fig. 8<br />
Note:<br />
The Ball Tip at the end of the<br />
Guide Wire will stop the Bixcut<br />
reamer head (Fig. 10.a).<br />
Reaming is commenced in 0.5mm<br />
increments until cortical contact is<br />
appreciated (Fig. 10.b). Final reaming<br />
should be 1.5−2mm larger than the<br />
diameter of the nail to be used.<br />
Fig. 9<br />
Caution:<br />
The proximal diameter (driving<br />
end) of the 9mm−11mm diameter<br />
nails is 11.5mm. <strong>Nail</strong> sizes<br />
12−14mm have a constant diameter.<br />
Bixcut Reamer*<br />
The complete range of Bixcut reamers<br />
is available with either modular or<br />
fixed heads.<br />
The optimized cutting flute geometry<br />
is designed to largely reduce<br />
intramedullary pressure and<br />
temperature.<br />
This is achieved by the forward and<br />
side cutting face combination of the<br />
reamer blades. The large clearance rate<br />
resulting from the reduced number<br />
of reamer blades, coupled with the<br />
reduced length of the reamer head,<br />
relieves the intramedullary pressure<br />
and provides efficient removal of<br />
reamed material.<br />
Fig. 10.a<br />
Fig. 10.b<br />
* See pages 30−31 for additional Bixcut Reamer<br />
system details.<br />
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