QUICK REFERENCE GUIDE
The following is a general overview of the DynaNail Surgical Technique intended to be used
as an easy reference. A more detailed surgical technique including technical tips and pearls
is described in the following pages.
Numbers in bold correspond to the numbers marked on the frame and are intended to be
used as a guide for the order of steps to be taken with the DynaFrame Targeting System.
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Assemble Targeting Frame
Insert Guidewire into tibial canal
Drill entry tunnel with 7 mm and 9 mm Drills
Ream to appropriate size using Reamer Shaft and Reamer Heads
Load Nail Implant onto Targeting Frame
Insert Nail Implant into reamed tibial canal
Stretch the Compressive Element by pulling down on Lever [1]
Set the amount of compression by turning Stop Wheel [2]
Return lever by pulling up when finished [3]
Attach Outer Tube Brace and PA Attachment
Drill into the calcaneus and insert P-A Headless Screw [4]
Drill into the calcaneus and insert L-M Cortical Screw [5]
Drill medial-to-lateral into distal interlocking screw hole of the Nail Implant [6]
Apply External Compression by turning the Manual Compression Knob [7]
(Optional) Insert most proximal tibial Cortical Screw in DynaNail XL Implants.
Drill and insert proximal tibial Cortical Screw into proximal interlocking screw hole [8]
16. Insert distal tibial Cortical Screw [9]
17. Release Nail Implant from the Targeting Frame
18. Replace End Cap and close incisions
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