Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
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Operative Technique<br />
Incision<br />
Incisions may be developed in<br />
different manners. Two alternatives<br />
will be described below.<br />
Fig. 13<br />
Alternative 1:<br />
The tip of the greater trochanter may<br />
be located by palpation (Fig. 13) and<br />
a horizontal skin incision of approximately<br />
2−3cm is made from the greater<br />
trochanter in the direction of the iliac<br />
crest (Fig. 14). In obese patients the<br />
incision length may need to be longer,<br />
depending on obesity of the patient.<br />
A small incision is deepened through<br />
the fascia lata, splitting the abductor<br />
muscle approximately 1−2cm immediately<br />
above the tip of the greater trochanter,<br />
thus exposing its tip. A selfretaining<br />
retractor, or tissue protection<br />
sleeve is put in place.<br />
Fig. 14<br />
Alternative 2:<br />
A long and thin metal rod (e. g. Screw<br />
Scale, Long) is placed on the lateral<br />
side of the leg. Check with image intensifier,<br />
using M-L view, that the metal<br />
rod is positioned parallel to the bone in<br />
the center of the proximal part of the<br />
femoral canal (Fig. 16a). A line is drawn<br />
on the skin (Fig. 16).<br />
Fig. 15<br />
Fig. 16<br />
Fig. 16a<br />
12