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Introduction
Contributing Surgeon:
Contents
1.
Introduction
2.
3.
3.1.
3.1.1.
3.1.2.
3.1.3.
9
9
11
12
13
3.3.
3.3.1.
3.3.2.
3.3.3.
3.3.4.
14
14
19
21
22
23
Fig. 1a
Fig. 2a
Note:
Fig. 1b
Fig. 2b
Components
2. Distal Targeting Device Components
The Distal Targeting Device consists
of 3 main components (Fig. 3a3c):
Calibration Unit
Rotation Cage
Calibrator
Transition Plate
Excentric Axle
Excentric Lever
Fig. 3a
Target Clip
Tightening Screw
Fixation Screw
Fig. 3b
Components
Targeting Arm
Fig. 3c
Note:
nt r
Lo
al H
ole
Lo
ck i
ng
ck i
ng
Ho
le
Ho
le
Fig. 4
Operative Technique
3. Distal Guided Locking via Distal Targeting Device
Note:
A/R
Note:
Operative Technique
3.1. Distal Targeting Device Calibration
Fig. 5
Fig. 6
3.1.1. Assembly
Fig. 7a
Fig. 7b
Operative Technique
Fig. 8
Fig. 9
Note:
Fig. 11
Note:
Fig. 12a
Insert the Targeting Arm (18125100) into the Rotation Cage and
attach the Target Clip (1812-5252)
and Tightening Screw (1812-5292) as
shown on Fig. 13.
Fig. 12b
Note:
Tightening Screw
Excentric Lever
Fig. 13
10
Operative Technique
3.1.2. Length and A/P Adjustments
Excentric Lever
Tightening Screw
Fig. 13a
Note:
Fig. 13b
Insert the Calibration Pin (18125331) into the most proximal hole of
the Target Clip (Fig. 14a). The hole
features a metallic inlay and is therefore easily recognised.
Note:
Fig. 14b
Fig. 15
11
Operative Technique
Fixation Screw
Fig. 17
Tightening Screw
Fig. 18
Fig. 19
12
Operative Technique
3.2. Nail Insertion
Note:
Driving end
Fig. 20
Driving end
Fig. 21
13
Operative Technique
3.3. Distal Guided Locking
Excentric Lever
Fig. 22b
Fig. 22a
X-Ray Marker
Fig. 23a
X-Ray Marker
Fig. 23b
X-Ray Marker
Note:
Fig. 23c
14
If nail shadow is above the upper XRay Marker or below the lower X-Ray
Marker, verify if the uoroscopic
image was taken in a true M-L view
(round distal locking holes). If this
is conrmed, do not use the Distal
Targeting Device for guided locking.
Operative Technique
Fig. 24
Note:
Make sure the incision is done exactly in front of the Sleeve assembly
in order to avoid any displacement
of the assembly during insertion
through the soft tissue.
Note:
Fig. 25
Fig. 26
15
Operative Technique
Fig. 27
Fig. 29
16
Operative Technique
Fig. 30
Fig. 31
Note:
Fig. 31a
Note:
If you cannot detect the groove easily, it might be possible that there
are still some bone debris in front of
the groove. Therefore, clean the Pilot
Hole again with the Hand Reamer and
Curette until you can feel the nail.
After finding the groove, an assistant shall attach the Universal Rod
(1806-0110) to the S2 Nail Adapter
and use the Slotted Hammer (18060170) to gently retract the nail by
approximately 10mm.
Fig. 31b
Fig. 31c
While the assistant is pulling out the nail, keep gentle pressure on the Probe
so that the tip of the Probe is sliding inside the groove of the nail and therefore
guided into the most distal locking hole (Fig. 31a & 31b).
Note:
In case the nail was initially inserted 10mm short of the final position, the
assistant shall attach the Strike Plate (1806-0150) to the Nail Adapter and use
the Slotted Hammer to insert the nail to its final position. In this case, the
Probe will slide into the more proximal distal hole of the nail (Fig. 31c).
17
Operative Technique
Note:
Fig. 32a
Fig. 32b
18
Operative Technique
3.3.2. Locking the most Proximal Hole
Fig. 34
Fig. 35b
Fig. 35a
19
Operative Technique
Note:
50mm
Fig. 36b
Fig. 37
Note:
The Screw Gauge, Long is calibrated so that with the bend at the end
pulled back flush with the far cortex,
the screw tip will end 3mm beyond
the far cortex (Fig. 37).
Alternatively, stop the drill when it
engages the far cortex and measure the
drill bit depth off the calibrated drill.
Add 5mm to this length to obtain the
correct screw length.
Fig. 38a
Fig. 38b
20
Operative Technique
3.3.3. Locking the most Distal Hole
Fig. 39
Fig. 41
Fig. 42
21
Operative Technique
3.3.4. Distal Guided Locking
in case of very distal fractures
Fig. 44
22
Description
1812-5100
Targeting Arm
Calibrator*
1812-5030
Rotation Cage*
1812-5040
Transition Plate*
1812-5015
Excentric Lever*
1812-5052
Excentric Axle*
1812-5252
Target Clip
1812-5292
Tightening Screw
1812-5301
Probe (2)
1812-5321
Fixation Sleeve
1812-5331
1806-0185
1806-0215
1806-0315
Trocar, Long
1806-5040
702630
Elastosil Hammer-Handle
1812-5351
Hand Reamer
1812-5341
Curette
1812-5142
Curette, curved
1812-5306
1812-5401
Sterilisation Container
(Quick Reference Chart included)
23
The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package
insert, product label and/or user instructions before using any Stryker product. Products may not be available in all
markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please
contact your Stryker representative if you have questions about the availability of Stryker products in your area.
Products referenced with designation are trademarks of Stryker.
Products referenced with designation are registered trademarks of Stryker.
Literature Number : B1000012
LOT C0905
Copyright 2004 Stryker
Printed in Germany