Opening the Tibia, cont'd.
Identify Nail Entry Point, contd.
Click on image for enlarged view
Entry point - lateral view
With a power drill or hand chuck,
insert the 2.5 mm guide wire through
the metaphysis and into the medullary
canal. Direct the wire so it is parallel to
the anterior cortex and closely
approximates the 9° angulation of the
proximal nail. To ensure correct wire
placement, hold a sterile nail anterior to
the tibia and use it as an angle guide.
Confirm wire placement with the image
intensifier.
Place the 11 mm Cannulated Drill Bit
into a cannulated drill and place the
protection sleeve over the guide wire.
Place the drill bit over the 2.5 mm
guide wire and through the protection
sleeve. Drill an opening into the
medullary canal to a depth of approxi-
mately 100 mm. Remove the drill, guide
wire and drill sleeve.
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