Miss A Nail Technique: (Special Aiming Arm)

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- Discussion:
    - Miss A Nail Aiming Jig permits single or dual, 7.0 mm cannulated
          screw or 6.5 mm cancellous screw fixation of the femoral neck frx
          before nail insertion, for a sound surgical approach to a demanding
          clinical situation;
      - may be placed anterior (or anterior and posterior) to path of nail;
      - permits screw insertion at one of four nail screw angles:
      - 100, 110, 120, or 130 deg;

- Technique:
    - using standard techniques for entering the piriformis fossa and use
        the 13 mm cannulated reaminer to 100 mm;
    - connect the URFN Insertion Handle to the Dummy nail for Miss A Nail;
    - manually insert the nail into the proximal femur until the slot of
        the Dummy nail is in line with the femoral neck axis;
    - choose the angle of insertion;
    - insert the 5.6 mm/3.2 mm wire sleeve (for 6.5 mm cancellous bone screw)
          or 5.6 mm/2.0 mm wire sleeve (for 7.0 stainless steel cannulated
          screws) into the superior bushing of the Miss A Nail Jig;
    - for 7.0 mm Stainless Steel Cannulated Screws, insert the 2.0 mm
          threaded Guide Wire, 300 mm, thru wire sleeve into femoral head;
          - drill for the stainless steel screws using the extra long, 4.5 mm
              cannulated drill bit, and tap as needed;
    - following IM nail insertion, a 4.9 mm locking bolt may be inserted;