manual_sirus_MO_L08 - Sirus Intramedullary Femur Nail...

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Sirus ® Intramedullary Femur Nail System Surgical Technique Anatomical Nail for Reamed and Nonreamed Technique, Choice for Locking and Lateral Entry Point
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Disclaimer This document is intended exclusively for experts in the field, i.e. physicians in particular, and is expressly not for the information of laypersons. The information on the products and/or procedures contained in this document is of a general nature and does not represent medical advice or recommendations. Since this information does not constitute any diagnostic or therapeutic statement with regard to any individual medical case, individual examination and advising of the respective patient are absolutely necessary and are not replaced by this document in whole or in part. The information contained in this document was gathered and compiled by medical experts and qualified Zimmer employees to the best of their knowledge. The greatest care was taken to ensure the accuracy and ease of understanding of the information used and presented. Zimmer does not assume any liability, however, for the up-to-dateness, accuracy, completeness or quality of the information and excludes any liability for tangible or intangible losses that may be caused by the use of this information. In the event that this document could be construed as an offer at any time, such offer shall not be binding in any event and shall require subsequent confirmation in writing.
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3 Surgical Technique .......................................................................................... 4 Positioning of the Patient ...................................................................................... 4 Opening of the Medullary Canal ............................................................................ 5 Nonreamed Method ............................................................................................. 8 Reamed Method .................................................................................................. 9 Insertion of the Intramedullary Nail for Femur ....................................................... 11 Options for Proximal Locking ............................................................................. 14 Surgical Steps for Standard Proximal Locking .................................................... 16 Surgical Steps for Cervical Screws ..................................................................... 19 Surgical Steps for Distal Locking ........................................................................ 24 Possibility of Dynamic Distal Locking .................................................................. 26 Cap Screw ......................................................................................................... 27 Implants .......................................................................................................... 28 Instruments .................................................................................................... 32 Sirus ® Intramedullary Nail for Femur
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4 10-15 ° Surgical Technique Positioning of the Patient The patient is placed on the operating table in the supine position. The un- affected leg is flexed 90° at the hip and placed abducted in a leg holder. After the patient is in the correct position, the C-arm must be adjusted so that the femur can be imaged in a lateral and anterior-posterior view along its whole length. In the same position an extension table can be used if needed. NOTE Alternatively a lateral positioning of the patient can be chosen. Patient in the supine position on an extension table with a Kirschner horseshoe Patient in the supine position Patient in the supine position with extension shoe
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5 Incision of the skin Extending the femoral shaft axis about 70mm proximal to the tip of the tro- chanter, a longitudinal incision of about 40mm is made. The fascia is split longitudinally in the direction of the tip of the trochanter, so that the greater trochanter can be palpated with the fingertip.
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