Manufacturer`s guideline | Author`s method |
---|---|
1. Central guide wire insertion | 1. Central guide wire insertion |
2. depth measuring: 98mm | 2. depth measuring: 98mm |
3. size of bolt: 90mm | 3. size of bolt: 100mm (one size longer than the measured depth) |
4. reaming of 90mm reamer | 4. 2 step reaming first 90mm reamer (same with manufacturer`s guideline) second 100mm reamer to target depth under image intensifier (same with selected bolt size) |
5. plate, bolt, insertion handle assembled by black screw | 5. plate, bolt, insertion handle assembled by black screw |
6. insertion of bolt | 6. insertion of bolt |
7. some untightening of black screw and make contact between plate and femoral cortex | |
7. insertion of distal locking screw | 8. insertion of distal locking screw |
9. some retraction of bolt treated by retightening of black screw and tapping by impactor | |
8. insertion of antirotation screw | 10. insertion of antirotation screw |
9. fracture site compression | 11. fracture site compression |
10. removal of insertion handle | 12. removal of insertion handle |