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
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