Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
Gamma3 Trochanteric Nail 180 - Stryker
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Operative Technique<br />
Dealing with Special Cases<br />
In the case of a comminuted fracture,<br />
there is a tendency for the fracture to<br />
become displaced posteriorly, making<br />
it difficult to place the K-Wire into the<br />
center of the neck and head. This can<br />
be solved by lifting the nail insertion<br />
Targeting Device (Fig. 71).<br />
Alternatively, an assistant can lift up<br />
the greater trochanter manually or<br />
with a reduction spoon; or support it<br />
with a sandbag. This will maintain<br />
the neck and the femur in almost the<br />
same axis, facilitating passage of the<br />
K-Wire through the center of the neck<br />
and head.<br />
Fig. 71<br />
The position should then be checked<br />
in both the anterior-posterior<br />
and lateral views using the image<br />
intensifier.<br />
39