Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
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Operative Technique<br />
Lag Screw Insertion<br />
The Targeting Device may be held by<br />
an assistant to prevent its weight from<br />
externally rotating the nail until the<br />
next stage is completed.<br />
Next, assemble the Lag Screw Guide<br />
Sleeve with the green coded 4.2mm<br />
Lag Screw Drill Guide Sleeve and pass<br />
them through the Targeting Sleeve to<br />
the level of the skin. This indicates the<br />
position for a small incision down to<br />
the bone (Fig. 43). The Guide Sleeve<br />
assembly is now advanced through<br />
the incision. If the guide catches the<br />
fascia lata, twisting it will usually<br />
allow it to pass through to the bone.<br />
Fig. 43<br />
In order for an accurate Lag Screw<br />
length measurement, the outer<br />
Guide Sleeve must be in good contact<br />
to the lateral cortex of the femur.<br />
The Knob of the Target Sleeve must<br />
be turned gently clockwise to lock<br />
the Guide Sleeve in place and further<br />
stabilize the targeting assembly<br />
(Fig. 44 and 44a).<br />
Fig. 44<br />
Fig. 44a<br />
Lag Screw Guide Sleeve in good contact to the lateral cortex<br />
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