Page 19 - Digi-Med_Trochanter-Nagel-2021-03-09
P. 19
SURGIcAL TEchNIQUE FOR „Y“-TYpE LIGhT TROchANTERIc NAILING
18 REMOVING OF ThE DRILL SLEEVES
Remove the dynamic screw wrench by twisting out the
threaded stem.
Remove the guide wire.
Remove the yellow soft tissue protector by releasing the
clamp screw on the aiming arm.
19 DISTAL INTERLOcKING
There is a round and an oval hole on the distal part of the
nail to produce static or dynamic interlocking.
Put the green soft tissue protector (26) and drill sleeve
(27) into
the aiming arm, incise the skin, push the drill sleeve to
the one
and fix the position by the clamp screw (13).
With the green 4 mm spiral drill (28) drill through the nail
and the opposite cortex. Read the length on the drill or
use the depth gauge (31) to determine screw length.
caution - consideration!
The measured length is the thread length only, add 4 to 5
mm for determining the screw length!
Interlock the nail with 4.9 mm interlocking screw, obtain a
final X-ray view to confirm satisfactory placement.
20 cLOSURE
Remove the aiming arm by releasing the nail adapter screw (6) with
the 10 mm hexagonal screwdriver (18).
Close the proximal part of the nail with a Cap screw (12400-17016),
tighten it with the cardan screwdriver (16, 20).
Digimed Medizintechnik • Kreutzerstrasse 1 • 78573 Wurmlingen • Germany • www.digi-med.de 19