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Initial Drilling
Instruments Used:
1. Trocar Tipped Guidewire (19)
2. 9.5 mm Protection Sleeve (3)
3. 14 mm Protection Sleeve (24)
4. 7 mm Cannulated Drill (28)
5. 9 mm Cannulated Drill (27)
6. Bead Tipped Guidewire (20)
With the 9.5 mm Protection Sleeve still in place, insert the 7 mm Cannulated Drill over the guidewire and drill
into the medullary canal. The Trocar-Tipped Guidewire will come out when removing the 7 mm Drill. Replace the
Trocar-Tipped Guidewire with the Bead-Tipped Guidewire. Reconfirm with fluoroscopy that the Guidewire is seated
in the same position prior to proceeding with the 9 mm Drill. Repeat drilling using the 9 mm Cannulated Drill.
Remove the 9.5 mm Protection Sleeve.
TECH TIPS
• It is recommended to drill with the 7 mm Cannulated Drill to just beyond the tibiotalar joint, stopping
at the metaphyseal level. Then, drill through the tibial canal using the 9 mm Cannulated Drill.
• A 2nd Bead-Tipped Guidewire can be inserted into the back of the drill and pushed against
the inserted Bead-Tipped Guidewire ensuring it remains in place while pulling out the drill.
• Do NOT forget to replace the Trocar-Tipped Guidewire with the Bead-Tipped prior to reaming.
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