S2 Femoral Nail Compression Operative Technique - Stryker

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Operative Technique Distal Targeting Device Calibration Note: Calibration of the S2 Distal Targeting Device must be performed prior to nail insertion, if decided to be used for Distal Guided Locking procedure. For detailed information about Calibration technique, please refer to the Operative Technique for S2 Distal Targeting Device (REF B1000012). (1) Nail Holding Screw (2) Fixation Screw Nail Insertion (3) Nail Adapter The selected nail is assembled onto the Nail Adapter (1806-8001) with the Nail Holding Screw (1806-8005) (Fig. 14). Tighten the Nail Holding Screw with the Uni-versal Joint Socket Wrench (1806-0400) securely so that it does not loosen during nail insertion. (5) Target Template (4) Targeting Adapter Fig. 14 Fig. 15 Note: If Calibration of the S2 Distal Targeting Device was performed before Nail Insertion, the nail is already assembled on the Nail Adapter. Upon completion of reaming and Distal Targeting Device Calibration, the appropriate size nail is ready for insertion. Unique to the S2 Femoral Nails, Compression, the 3×1000mm Ball Tip Guide Wire does not need to be exchanged. The Strike Plate (1806- 0150) is threaded into the hole next to the Nail Holding Screw and the nail is advanced through the entry point past the fracture site to the appropriate level. Caution: Curvature of the nail must match the curvature of the femur (Fig. 15). Additionally, the 3×285mm K-Wire may be inserted through the Targeting Fig. 16 Device to identify the junction of the nail and insertion post (Fig. 16). 14
Operative Technique The Slotted Hammer (1806-0170) can be used on the Strike Plate (Fig. 17) if dense bone is encountered. Note: Prior to insertion check the correct assembly using a Drill through the required holes. Do not hit the Target Device. Only hit the Strike Plate. Repositioning should be carried out either by hand or by using the Strike Plate placed on top of the Target Device. The Universal Rod may then be attached to the Strike Plate (Fig. 18) and used in conjunction with the Slotted Hammer to carefully and smoothly extract the assembly. Fig. 17 Note: A chamfer is located on the driving end of the nail in order to denote the end under X-Ray. Three circum-ferential grooves are located on the insertion post at 2mm, 10mm and 15mm from the driving end of the nail. Depth of insertion may be visual-ized with the aid of fluoroscopy (Fig. 19). Fig. 18 When locking the S2 Femoral Nail Compression in the static mode, the nail is countersunk a minimum of 5mm (Fig. 20). 2mm 5mm 10mm 15mm Static Dynamic or Apposition/Compression Fig. 19 When the implant is inserted in the dynamic mode or with active apposition/compression, the recommended depth of insertion is 15mm (Fig. 21). Note: If the S2 Distal Targeting Device will be used for Distal Guided Locking, the nail must be inserted 10 mm deeper than described above. Please refer to the S2 Distal Targeting Device - Operative Technique (REF B1000012) for detailed information. Fig. 20 Note: Remove the Guide Wire prior to drilling and insertion of the Locking Screws. Fig. 21 15
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 and 12: Operative Technique Entry Point The
Page 13: Operative Technique Nail Selection
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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