Quick Reference Chart Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures.
Titanium Trochanteric Fixation Nail System Implants. Titanium Cannulated Trochanteric Fixation Nails, sterile 17 mm proximal diameter 10 mm, 11 mm, 12 mm, and 14 mm* distal diameters 125, 130, and 135 femoral neck angles Cannulated to accept ball tip reaming rod 456.314S 456.323S 456.324S 456.329S 456.510S 456.512S 456.330S 456.647S 170 mm length 235 mm length 300 mm 460 mm lengths (20 mm increments), right and left 11.0 mm Titanium Helical Blades 75 mm 130 mm, 5 mm increments 456.300S 75 mm (sterile only) 456.301 456.309 80 mm 120 mm 456.310S 125 mm (sterile only) 456.650S 130 mm (sterile only) 5.0 mm Titanium Locking Screws 458.926 458.960 26 mm 60 mm, 2 mm increments 458.964 458.980 64 mm 80 mm, 4 mm increments 458.985 458.999 85 mm 100 mm, 5 mm increments 4.9 mm Titanium Locking Bolts 459.26 459.60 26 mm 60 mm, 2 mm increments 459.64 459.80 64 mm 80 mm, 4 mm increments 459.85 459.100 85 mm 100 mm, 5 mm increments Titanium End Caps for Trochanteric Fixation Nails 456.311 456.313 0 mm, 5 mm, and 10 mm extensions Implants available nonsterile or sterile-packed. Add S to catalog number to order sterile product. *14 mm diameter nails only available in 130 femoral neck angle.
Titanium Trochanteric Fixation Nail System. For intramedullary fixation of proximal femur fractures. Anatomic Axis 6 Guide Wire Entry Path 1 Axial and AP view of insertion site. 2 Insert the 3.2 mm guide wire. 3 Open the canal using the 17.0 mm cannulated drill bit. Drill to the stop. 4 Insert the titanium trochanteric fixation nail. 5 Use light hammer blows, if needed. Use the driving cap with a free hammer or the hammer guide with the slide hammer. 6 Attach the appropriate aiming arm (125, 130 or 135 angle). Verify nail insertion depth and anteversion. 7 Insert blade guide sleeve and advance to the lateral cortex by turning the buttress/compression nut counterclockwise. 8 Insert the 3.2 mm guide wire for helical blade. 9 Check the position of the guide wire using the image intensifier.
10 Measure for length of helical blade by passing the measuring device over the guide wire to the back of the blade guide sleeve. 11 Drill for the helical blade using the 11.0 mm tapered drill bit. Drill to the stop. For dense bone, use the 6.0 mm/10.0 mm stepped drill bit after the cortex has been opened with the tapered drill bit. 12 Insert the helical blade completely to the stop. Use light hammer blows on the head of the coupling screw to seat the helical blade. 13 Lock the helical blade to control rotation by advancing the locking mechanism to the stop. 14 Locking distally: 170 mm and 235 mm nails. Using the 11.0 mm/8.0 mm protection sleeve and 8.0 mm/4.0 mm drill sleeve through the aiming arm, drill for the locking bolt or locking screw and read the length directly from the 4.0 mm calibrated drill bit at the end of the drill sleeve. Insert the locking bolt or locking screw. Locking distally: 300 mm 460 mm nails. Drill for and insert the locking bolt or locking screw using either the radiolucent drive or standard freehand technique. 170 mm and 235 mm nails 300 mm 460 mm nails 15 Remove the connecting screw and insertion handle using the 8 mm ball hex screwdriver or the 8 mm cannulated shaft and 11 mm ratchet wrench. 16 Insert the end cap into the proximal end of the nail using either the 11 mm hexagonal socket and ratchet wrench, or the 5 mm flexible hexagonal screwdriver. 17 Final position. Please refer to technique guide for indications and complete instructions for use.
Titanium Trochanteric Fixation Nail System Instrument Assembly Insertion Handle Assembly Align nail to insertion handle. Insert connecting screw. Blade Guide Sleeve Buttress/Compression Nut Assembly Tighten connecting screw using the ball hex screwdriver. Buttress/Compression Nut 357.371 Blade Guide Sleeve, for Trochanteric Fixation Nails 357.369 Thread buttress/compression nut onto the blade guide sleeve. Insert blade guide sleeve assembly through the aiming arm. 6.0 mm/10.0 mm Stepped Drill Bit Assembly Drill Stop 357.405 6.0 mm/10.0 mm Stepped Cannulated Drill Bit, large quick coupling, 435 mm 357.403 Insertion Assembly for 11.0 mm Helical Blade Helical Blade Coupling Screw 357.377 Position drill stop on stepped drill bit. Helical Blade Inserter 357.372 Helical Blade Inserter with 11.0 mm Helical Blade Attach the helical blade to the helical blade inserter. Synthes (USA) 1302 Wrights Lane East West Chester, PA 19380 Telephone: (610) 719-5000 To order: (800) 523-0322 Fax: (610) 251-9056 Synthes (Canada) Ltd. 2566 Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) 567-0440 To order: (800) 668-1119 Fax: (905) 567-3185 www.synthes.com 2002 Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 4/10 J3903-F