Inserting the Nail
Click on image for enlarged view
Using the 700 g Hammer (or Ram assembly), drive the nail into the
canal with measured blows. The image intensifier should be used to
monitor the passage of the nail across the fracture site. Control
rotation of the nail using the Insertion Handle.
Note: lf the nail is rotating, the Insertion Handle may be placed
laterally for increased guidance and control. Loosen the Locking
Nut, and disengage the Insertion Handle from the positioning
notches of the nail. Rotate the Insertion Handle 180°, taking care to
re-engage the Insertion Handle's tabs with the nail's positioning
notches. Tighten down the Locking Nut with the pin wrench and
retighten as necessary during nail insertion.
The nail should advance into the medullary canal with each blow of
the Hammer. If resistance is encountered, remove the nail and ream
the canal an additional 0.5 mm. Reinsert the nail.
As the bend in the nail passes the insertion point, the surgeon will feel
a release of tension. Insert the proximal nail end below the bone
surface. When the nail is fully seated, remove the Curved Driving
Piece and Driving Head (or Ram assembly), and 3.0 mm Guide Rod.
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