S2 Femoral Nail Compression Operative Technique - Stryker

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Operative Technique Dynamic Locking Mode When the fracture profile permits, dynamic locking may be utilized for transverse, axially stable fractures. For routine Dynamic Locking, the dynamic hole on the Target Template should be used. The Partially Threaded Locking Screw (Shaft Screw) is placed in the dynamic position of the M/L oblong hole via the Target Device. This allows the nail to move and the fracture to settle while providing torsional stability (Fig. 41). 10mm Antegrade dynamization is performed by statically locking the nail distally with two M/L Fully Threaded Locking Screws in a guided or freehand technique (Fig. 42). Fig. 41 Note: If the Distal Targeting Device is used for Distal Guided Locking, this should always be performed before proximal locking! Fig. 42 22
Operative Technique The Long Tissue Protection Sleeve together with the Long Drill Sleeve and the Long Trocar are positioned through the dynamic locking hole of the Target Template placed on the Targeting Adapter. A small skin incision is made, and the assembly is pushed through, until the Tissue Protection Sleeve is in contact with the lateral cortex of the femur (Fig. 43). Fig. 43 The Trocar is removed, while the Tissue Protection Sleeve and the Drill Sleeve remain in position. In order to insert the Partially Threaded Screw, drill both cortices with the Ø4.2×340 Drill (1806- 4260S). Next, drill the near cortex, ONLY, with the Ø5×230mm Drill (1806-5000S) (Fig. 44). Note: After the opposite cortex is drilled with the Ø4,2×320mm Drill, the correct screw length can be read directly off of the calibrated Drill at the end of the Long Drill Sleeve. Fig. 44 Routine Locking Screw insertion is employed with the assembled Long Screwdriver Shaft and Teardrop Handle (Fig. 45). Fig. 45 23
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 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: Operative Technique End Cap Inserti
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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