Untitled - Stryker

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Operative Technique Step IV (Fig. 69) The Conical Extraction Rod is then threaded and tightend into the proximal end of the nail. The Lag Screw is extracted by anti-clockwise rotation and pulling of the Lag Screwdriver. The K-Wire must then be removed. Step V (Fig. 70a & b) An appropriate sliding hammer assembly is attached to the Extraction Rod and the nail extracted. Note: • It is a useful to turn the Lag Screw Screwdriver clockwise slightly first to loosen the possibly bony ingrowth into the screw threads before turning it counter clockwise. • As an alternative for implant extraction and even in rare case of broken implants the <strong>Stryker</strong> Implant Extraction System can be used. Fig. 69 For details, please refer to the "Implant Extraction Set" Guide or ask <strong>Stryker</strong> Representative for further assistance. Implant Extraction Set Implant Extraction Guide Module One & Two Fig. 70a Implant Extraction Set: • Quick Reference Guide (B1000055) • Implant Extraction Guide (B1000057) Fig. 70b 42
Operative Technique Dealing with Special Cases In the case of a comminuted fracture, there is a tendency for the fracture to become displaced posteriorly, making it difficult to place the K-Wire into the center of the neck and head. This can be solved by lifting the nail insertion Targeting Device (Fig. 71). Alternatively, an assistant can lift up the greater trochanter manually or with a reduction spoon; or support it with a sandbag. This will maintain the neck and the femur in almost the same axis, facilitating passage of the K-Wire through the center of the neck and head. The position should then be checked in both the anterior-posterior and lateral views using the image intensifier. Fig. 71 43
Page 2 and 3: Trochanteric Nail 180 Contributing
Page 4 and 5: Introduction The Gamma3 Locking Nai
Page 6 and 7: Features Lag Screw and Set Screw Fu
Page 8 and 9: Features D d D > d Fig. 6 Gamma3 Sy
Page 10 and 11: Operative Technique Pre-operative P
Page 12 and 13: Operative Technique Incision Incisi
Page 14 and 15: Operative Technique Incision Using
Page 16 and 17: Operative Technique When reaming is
Page 18 and 19: Operative Technique The Trocar is t
Page 20 and 21: Operative Technique Alternative 4:
Page 22 and 23: Operative Technique Assembly of Tar
Page 24 and 25: Operative Technique Before checking
Page 26 and 27: Operative Technique When the Gamma3
Page 28 and 29: Operative Technique Lag Screw Inser
Page 30 and 31: Operative Technique Warning: In the
Page 32 and 33: Operative Technique Lag Screw Inser
Page 34 and 35: Operative Technique Lag Screw Fixat
Page 36 and 37: Operative Technique Alternative: Se
Page 38 and 39: Operative Technique The Trocar is n
Page 40 and 41: Operative Technique Nail Extension
Page 44 and 45: Implants Packaging All implants are
Page 46 and 47: Ordering Information - Implants TRO
Page 48 and 49: Ordering Information - Instruments
Page 50 and 51: References Publications More than 1
Page 52: Stryker Trauma GmbH Prof.-Küntsche

Untitled - Stryker

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