Distractor Instructions - Sign IM Nail and Interlocking Screw System Technique Manual

Figure 1 Initial Clamp Placement
NOTE: One fragment is mobile and one fragment is stationary. For example the proximal fragment
in a femur fracture is stationary. The ratchet should go on the moveable fragment.
Figure 3 Placing Retaining Pin
NOTE: Must be done slowly. Sometimes it is necessary to incise tight bands in the quadriceps
mechanism. If the ratchet is distracted over 4 inches, reposition the clamps.
Figure 5 Once Distracted, Start Shaft Alignment
NOTE: Sometimes the distractor must be removed to do this.

Distractor Instructions

Figure 2 Placing Distractor Over Clamps
Figure 4 Turn Handle to Distract the Bone
Figure 6 Reduced Fragment
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Fragments