Inserting the Nail, contd

Insertion Instrument Assembly
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For solid nails, place the nail into the tibial opening with the insertion handle oriented anteriorly.

For cannulated nails, place the nail over the guide rod and into the tibial opening with the insertion handle oriented anteriorly.

Verify fracture reduction and insert the nail as far as possible by hand. Monitor nail passage across the fracture under image intensification.

With the leg in flexion, use light blows of the slotted hammer on the Inserter-Extractor until the top of the nail is at or below the tibial opening.

Note: The nail must he fully inserted inflexion.




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