DynaNail® TTC Fusion System– Surgical Technique Guide DynaNail® TTC Fusion System– Surgical Technique Gu | Page 32

16 Distal Tibial Screw Placement Instruments Used: 1. 3.5 mm Hex Driver Shaft (26) 2. Blue Handle Ratchet Driver (31) 3. Cortical Screw Relieve the compression on the 4 mm Drill by turning the Manual Compression Knob back counter clockwise until it rotates freely (A), but do not force the wheel back until it reads zero. Remove the 4 mm Drill. Determine the appropriate screw length and insert the Cortical Screw as described in Step 11 (B). Confirm screw placement, anatomic alignment, and apposition of fusion surfaces under fluoroscopy prior to removing Targeting Frame. A B 32