
Synthes 356.521 Orthopedic Aiming Arm
Synthes 356.521 Orthopedic Aiming Arm • Model: 356.521 The Synthes 356.521 Aiming Arm is a guiding tool used during the insertion of titanium intramedullary tibial nails. In tibial nailing procedures, alignment of locking screws or bolts is critical, both proximally and distally, to ensure stability of the implant and to avoid misplacement that could impact bone integrity or complicate later removal. The aiming arm attaches to the tibial nail or its insertion handle and provides a mechanical reference so that drill sleeves, bolts, or locking bolts can be placed accurately. By using the aiming arm, the surgeon or surgical assistant can reduce the need for repeated adjustments or guesswork under fluoroscopy. It helps in aligning drill sleeves and guide wires so that the locking screws pass through the nail holes properly and at the correct angle. This contributes both to surgical efficiency (less time under fluoroscopy, fewer repositionings) and to better patient outcomes (less risk of m