Gamma3 Trochanteric Nail 180 - Stryker

Operative Technique
Patient Positioning
The patient is placed in a supine
position on the fracture table and
closed reduction of the fracture is
recommended. Reduction should be
achieved as anatomically as possible.
If this is not achievable in a closed
procedure, open reduction may be
necessary.
Traction is applied to the fracture,
keeping the leg straight. The unaffected
leg is abducted as far as
possible to make room for the image
intensifier (Fig. 10).
Maintaining traction, the leg is
internally rotated 10–15 degrees to
complete fracture reduction; the
patella should have an either horizontally
or slightly inward position
(Fig. 11).
Position the image intensifier so that
anterior-posterior and mediolateral
views of the trochanteric region of the
affected femur can be easily obtained.
This position is best achieved if the
image intensifier is positioned so that
the axis of rotation of the intensifier
is centered on the femoral neck of the
affected femur (Fig. 12).
It is important to ensure that a view
of both the distal and proximal ends
of the nail can be obtained during the
procedure without obstruction by the
traction table.
Fig. 10
Fig. 11
The patient is then prepared and
draped as for standard femoral nailing
procedures. When positioning the
drapes, bear in mind that the incision
will be proximal.
Fracture Reduction
Note:
Reduction should be achieved as
anatomically as possible. If this is
not achievable, reduction should
be achieved at least in one plane.
Reduction in the other plane may
be achieved with the Gamma3 Nail
during insertion.
Fig. 12
11