AONA Universal Nailing System Technique Guide - Femoral Nailing Technique - Nail insertion - Assembling the Insertion Instrumentation

Standard Insertion Assembly
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(1) Slide the femoral nail over the guide rod. Manually insert the nail into the medullary canal as far as possible.
(2) Screw the Threaded Conical Bolt (A) into theproximal end of the nail. Pass the Insertion Handle (B) over the bolt. Be sure to use the conical bolt and Insertion Handle that correspond to the diameter of the nail to be inserted. The Insertion Handle should be oriented laterally, and its tabs must engage the positioning notches of the nail.
(3) Using the Insertion Handle to control nail rotation, tighten the conical bolt with the Combination Wrench or Cannulated Socket Wrench. Mount the appropriate Locking Nut (C) onto the conical bolt, and tighten with the 4.5 mm Pin Wrench.

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