Insert spiral blade
Attach the spiral blade to the inserter and introduce both over the guide wire.
Align the handle of the inserter parallel to the aiming arm.
The initial rotation of the T-handle of the spiral blade inserter relative to the aiming arm depends on patient anatomy. If the distance from the lateral cortex to the nail is less than 10 mm, start the inserter slightly clockwise from parallel. If the distance from the lateral cortex to the nail is more than 10 mm, start the T-handle slightly counter-clockwise from parallel.
By applying light controlled hammer blows to the connecting screw, advance the spiral blade to the desired depth. This causes the handle to rotate 90°.