S2 Femoral Nail Compression Operative Technique - Stryker

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Operative Technique Reamed Technique If the procedure will be performed using a reamed technique, the 3×1000mm Ball Tip Guide Wire is inserted with the Guide Wire Handle through the fracture site to the level of the Epiphyseal Scar or the mid-pole of the Patella. The Ø9mm Universal Rod (1806-0110) with Reduction Spoon (1806-0125), may be used as a fracture reduction tool to facilitate Guide Wire insertion through the fracture site (Fig. 8 & 9). The Guide Wire tip should lie in the center of the metaphysis in the A/P and M/L views to avoid offset reaming. Fig. 8 Note: The Ball Tip at the end of the Guide Wire will stop the Bixcut reamer head (Fig. 10.a). Reaming is commenced in 0.5mm increments until cortical contact is appreciated (Fig. 10.b). Final reaming should be 1.5−2mm larger than the diameter of the nail to be used. Fig. 9 Caution: The proximal diameter (driving end) of the 9mm−11mm diameter nails is 11.5mm. Nail sizes 12−14mm have a constant diameter. Bixcut Reamer* The complete range of Bixcut reamers is available with either modular or fixed heads. The optimized cutting flute geometry is designed to largely reduce intramedullary pressure and temperature. This is achieved by the forward and side cutting face combination of the reamer blades. The large clearance rate resulting from the reduced number of reamer blades, coupled with the reduced length of the reamer head, relieves the intramedullary pressure and provides efficient removal of reamed material. Fig. 10.a Fig. 10.b * See pages 30−31 for additional Bixcut Reamer system details. 12
Operative Technique Nail Selection Diameter The diameter of the selected nail should be 1.5-2mm smaller than that of the last reamer used. Alternatively, the diameter may be determined using the X-ray Ruler Femur, Compression (1806-8012) (Fig. 11). Hole Positions (nondriving end) * 1. Static Locking - both M/L holes Hole Positions (driving end) * 1. Static Locking - both M/L holes 2. Dynamic or Apposition/Compression - only the oblongue M/L hole nail diameters 1 1 nail length 1 1 2 Fig. 11 Length Nail length may be determined by measuring the remaining length of the Guide Wire (1806-0085S). The Guide Wire Ruler (1806-0020) may be used by placing it on the Guide Wire reading the correct nail length at the end of the Guide Wire on the Guide Wire Ruler (Fig. 12 & 13). Alternatively, the X-Ray Ruler Femur, Compression may be used to determine nail length (Fig. 11). Additionally, the X-Ray Ruler can be used as a guide for locking screw positions. Fig. 12 Note: If the fracture is suitable for apposition/compression, the implant selected should be 10-15mm shorter than measured, to avoid migration of the nail beyond the insertion site. Fig. 13 * See page 8 for detailed illustrations of Antegrade Locking Options. 13
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 and 10: Operative Technique Patient Positio
Page 11: Operative Technique Entry Point The
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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