Page 15 - Digi-Med_Trochanter-Nagel-2021-03-09

SURGIcAL TEchNIQUE FOR „Y“-TYpE LIGhT TROchANTERIc NAILING

4 pOSITIONING OF ThE
pATIENT AND REpOSION

With the patient supine, abduct the unaffected limb while
adducting the trunk and the affected extremity and flex the
affected hip 15°.

Apply traction with a foot holder, and rotate the foot to obtain
correct rotational alignment.

5 SKIN INcISION

Make an approx. 5 cm long skin incision proximal to the
greater trochanter. incise the fascia of the gluteus maxi-
mus, identify the subfascial plane, and palpate the tro-
chanteric fossa.

6 DETERMINING OF ThE ENTRY pOINT

With a 3.5 x 400 mm threaded Kirschner wire (11) find the
trochan-teric fossa.The tip of the pin should be in the
midplane of the femur in both anteroposterior and lateral
views. Under fluoroscopic control insert the Kirschner
wire into the medullary canal.

7 oPening oF The FeMUr

Insert the cannulated 15.5 mm Hollow reamer (15)
over the Kirschner wire to enlarge the entry portal.
Ream the proximal femur until the reamer sink into it.

Digimed Medizintechnik • Kreutzerstrasse 1 • 78573 Wurmlingen • Germany • www.digi-med.de 15