Final Implant Placement - Zimmer Biomet Zimmer Natural Nail Manual

Final Implant Placement

Observe the depth of the nail in the proximal femur.
Ridges at 5 and 10 mm from the end of the targeting
guide barrel indicate nail depth.
It is recommended to use a nail cap to close the
proximal part of the nail to prevent bone ingrowth.
Place a 2.0 mm pin through the connecting bolt
and into the proximal portion of the nail. Loosen
and remove the connecting bolt from the nail taking
care to leave the 2.0 mm pin in place. If a nail cap
will not be used, do not introduce the 2.0 mm pin.
Technique Tip: The 0 mm height nail cap can
be placed through the targeting guide following
removal of the connecting bolt. Other nail caps
cannot be placed until the targeting guide is also
removed.
Zimmer Natural Nail – Cephalomedullary Asia Nail Surgical Technique
25 |
Figure 36
Choose the appropriate height of nail cap. Secure
the selected nail cap to the flexible nail cap inserter
using the flexible nail cap retaining shaft (Figure 36).
Place the nail cap over the 2.0 mm pin and thread it
into the top of the nail. Using the C-arm, verify that
the cap is completely seated in the top of the nail.
Disengage the flexible nail cap inserter from the
nail cap. Remove the 2.0 mm pin.
Close all wounds and apply the appropriate
dressings.