Insert End Cap; Insert Sutures - Synthes MultiLoc Proximal Humeral Nail Technique Manual

End Cap Insertion
2

Insert end cap

Instrument
03.019.020 StarDrive Screwdriver, T25, with coupling for
03.019.019, 330 mm
Use the T25 StarDrive screwdriver to tighten the end cap
securely.
Notes:
– The end cap must be inserted securely below the humeral
head surface to avoid impingement. If in doubt, choose a
shorter end cap.
– To minimize the chance of cross threading, turn the end
cap counterclockwise until the thread of the end cap aligns
with the nail.
3
Insert sutures (optional)
The stability of the osteosynthesis can be improved with the
insertion of sutures. Place one or more heavy, nonabsorbable
sutures in the region of the tendinous insertion of the
supraspinatus, infraspinatus, and subscapularis muscles.
Attach the sutures to the MultiLoc Screw using the suture
holes provided.
36 Synthes MultiLoc Proximal Humeral Nail Technique Guide