Synthes Titanium Trochanteric Fixation Nail System Technique Manual page 18

Insert Nail
2. Insert nail continued
To aid with the insertion of long nails,
orient the insertion handle anteriorly
until the nail reaches the isthmus. As
the nail is advanced, rotate the handle
so it is positioned laterally for final
seating. This will allow the bow of the
long nails to aid nail passage through
the 6° laterally angled entry point.
For long nails, insertion can be aided
by light hammer blows. When using
a hammer, monitor the tip of the
nail using image intensification.
Verify that there is no evidence of
impingement distally.
16 Synthes Titanium Trochanteric Fixation Nail System—Screw Option Technique Guide