{"id":3694,"date":"2024-04-15T23:56:29","date_gmt":"2024-04-15T15:56:29","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694"},"modified":"2024-04-15T23:59:31","modified_gmt":"2024-04-15T15:59:31","slug":"gamma-nail","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694","title":{"rendered":"Gamma nail"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3694\" class=\"elementor elementor-3694\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bc33a8c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bc33a8c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-457ab0e\" data-id=\"457ab0e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a218d77 elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"a218d77\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-a218d77\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694\" class=\"elementor-item menu-link\">Gamma nail<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3409\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3402\" class=\"elementor-item menu-link\">Humeral Nailing<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3638\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625\" class=\"elementor-item menu-link\">Percutaneous screw fixation<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4669\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4664\" class=\"elementor-item menu-link\">Proximal Humeral Plating<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-a218d77\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694\" class=\"elementor-item menu-link\" tabindex=\"-1\">Gamma nail<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3409\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3402\" class=\"elementor-item menu-link\" tabindex=\"-1\">Humeral Nailing<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3638\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625\" class=\"elementor-item menu-link\" tabindex=\"-1\">Percutaneous screw fixation<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4669\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4664\" class=\"elementor-item menu-link\" tabindex=\"-1\">Proximal Humeral Plating<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bf445e5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bf445e5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-44733d0\" data-id=\"44733d0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0259d7 elementor-widget elementor-widget-heading\" data-id=\"d0259d7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Gamma nail<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a5bc0c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8a5bc0c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f57bd9b\" data-id=\"f57bd9b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cdc6b66 elementor-widget elementor-widget-shortcode\" data-id=\"cdc6b66\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-3691 .hotspots-image-container,\n\t#hotspot-3691 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3691 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3691 {\n\t\tbackground: #fafbff;\n\t\tborder: 0 #fafbff solid;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3691 .hotspot-title,\n\t#hotspot-3691 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3691 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3691 .bc-product__title a {\n\t\tcolor: #20418d;\n\t}\n\n\t\t\t#hotspot-3691 .hotspot-style-1 {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3691 .hotspot-style-1:hover,\n\t\t#hotspot-3691 .hotspot-style-1:focus,\n\t\t#hotspot-3691 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-3691 .hotspot-default {\n\t\t\tstroke-width: 3;\n\t\t\tfill: #20418d;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3691 .hotspot-default:hover,\n\t\t#hotspot-3691 .hotspot-default:focus,\n\t\t#hotspot-3691 .hotspot-default.hotspot-active {\n\t\t\tfill: #0d1b3a;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #001440;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3691 .leaflet-tooltip,\n\t#hotspot-3691 .leaflet-rrose-content-wrapper {\n\t\tbackground: #fafbff;\n\t\tborder-color: #fafbff;\n\t\tcolor: #001440;\n\t}\n\n\t#hotspot-3691 a.leaflet-rrose-close-button {\n\t\tcolor: #20418d;\n\t}\n\n\t#hotspot-3691 .leaflet-rrose-tip {\n\t\tbackground: #fafbff;\n\t}\n\n\t#hotspot-3691 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #001440;\n\t\tborder-top-color: #001440;\n\t}\n\n\t#hotspot-3691 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #fafbff;\n\t}\n\n\t#hotspot-3691 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #fafbff;\n\t}\n\t#hotspot-3691 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #fafbff;\n\t}\n\t#hotspot-3691 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #fafbff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-3691\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/gamma-nail.png\"\n\t\talt=\"Gamma nail\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3691\"\n\t\tdata-image-title=\"Gamma nail\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3691\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-3691\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"93,270,93,226,378,226,378,270\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3691-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3691-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"115,507,115,460,376,460,376,507\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3691-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3691-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"868,318,868,266,1231,266,1231,318\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3691-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3691-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3691-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Anesthesia<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">GA\/SA<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Position<\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Supine on traction table<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Draping<\/span><\/u><\/p>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Foliodrape<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">75 X75 <\/span><\/div>\n<div style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .38in;text-indent: -.38in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt\"><span style=\"font-family: +mj-lt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Isolation drape<\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3691-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"text-align: left\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Indication<\/span><\/u><\/p>\n<p>Inter\u2010trochanteric fractures of femur<\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">1.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Skin <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">incision with surgical blade No.10 over the lateral aspect of greater trochanter. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">2.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Haemostasis<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with diathermy pen. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">3.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cut <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">fascia with Mayo\u2019s curved scissors. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">4.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Split <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">muscle with and periosteum with periosteal elevator<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">.<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">5.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Locate <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">insertion point with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">awl under <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">x\u2010\u2010\u2010ray control<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">.<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-family: +mj-lt;font-size: 12.0pt\">6.<\/span><\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Intramedullary preparation can either <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">by<\/span><\/div>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">i<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">) reaming by flexible reamer through 3mm ball\u2010tip guide\u2010rod gradually; <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">or<\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">ii) one step conical reaming through 3.2mm trocar \u2010 point guide\u2010\u2010\u2010pin. <\/span><\/p>\n<p style=\"line-height: 107%;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt 0in\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">7<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">.\u00a0\u00a0 Insert <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">the selected GAMMA III Nail with insertion handle. <\/span><\/p>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">8.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Remove <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">the 3mm reaming guide rod. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">9.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">guide\u2010pin through the targeting device through femoral neck under x\u2010ray screening. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">10.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Measure <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">the length and perform step drill. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">11.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">the selected Lag screw accordingly. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">12.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Insert <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">set screw. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">13.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Perfom<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">distal locking through the targeting device. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">14.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Irrigate <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">wound with NS. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">15.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Haemostasis<\/span> <span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">with diathermy pen. <\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">16.<\/span><\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Close <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">wound with <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 1, <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">vicryl<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 2\/O and skin <\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">stapler<\/span><\/div>\n<div class=\"O0\" style=\"line-height: 107%;text-indent: -.25in;text-align: left;direction: ltr;vertical-align: baseline;margin: 0pt .58in 4.25pt .25in\"><!-- [if ppt]--><span style=\"font-size: 12.0pt\"><span style=\"color: black;font-size: 12.0pt\">\u25cf<\/span><\/span><!--[endif]--><\/div>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">\u00a0<\/span><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Wound closing <\/span><\/u><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">E<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">thilon<\/span><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\"> 3\/O <\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Cosmopore<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Velband<\/span><\/p>\n<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: 0in;text-align: left;direction: ltr\"><span style=\"font-size: 12.0pt;font-family: Calibri;color: black\">Crepe bandage<\/span><\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3691-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"679\" height=\"440\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/gamma-nail-consumable.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/gamma-nail-consumable.png 679w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/gamma-nail-consumable-300x194.png 300w\" sizes=\"(max-width: 679px) 100vw, 679px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-10a675a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"10a675a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5b02d88\" data-id=\"5b02d88\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c593b29 elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"c593b29\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-undo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Gamma nail<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[35],"tags":[],"class_list":["post-3694","post","type-post","status-publish","format-standard","hentry","category-reference"],"_links":{"self":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3694"}],"version-history":[{"count":7,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3694\/revisions"}],"predecessor-version":[{"id":3701,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/3694\/revisions\/3701"}],"wp:attachment":[{"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ndhorth.synology.me\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}