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SURGIcAL TEchNIQUE FOR „Y“-TYpE LIGhT TROchANTERIc NAILING

8 INSERTING OF ThE NAIL

If solid nail is used, remove the Kirschner wire, if can-

nulated, it should be inserted over the wire. Insert the
nail carefully by hand until the axis of the dynamic screw
hole reaches the center of the femoral neck. If resis-
tance is encountered, stop and withdraw the implant,
and push it with slight twisting, or use a smaller diame-

ter.

! Never hit the aiming arm. In difficult cases you may use

the extraction device to support insertion.

9 X-RAY EVALUATION

Put a Kirschner wire (11) into the proximal hole of the
aiming arm. Its shadow in lateral view should be in the
center of the femoral neck.

The lateral groove of the aiming arm is parallel to the
dynamic head screw.

10 SKIN INcISION AT DYNAMIc ScREW

Put the yellow soft tissue protector (24) and drill sleeve
(25) into the aiming arm, incise the skin and fascia and
push the drill sleeves to the bone.

With the clamp screw on the aiming arm(13) fix the

position.

16 Digimed Medizintechnik • Kreutzerstrasse 1 • 78573 Wurmlingen • Germany • www.digi-med.de