Synthes 356.49 Surgical Inserter-Extractor 9-3/4"

• Model: 356.49
• Overall Length: 9-3/4 inches

The Synthes 356.49 Surgical Inserter-Extractor is a precision-engineered instrument designed for efficient and reliable surgical procedures. Crafted to facilitate the insertion and extraction of implants with minimal tissue disruption, this tool enhances surgical accuracy and control. Its ergonomic design ensures comfortable handling during complex operations, while durable construction guarantees long-lasting performance. Ideal for orthopedic and trauma surgeries, the Synthes 356.49 supports surgeons in achieving optimal outcomes through improved maneuverability and dependable functionality.

The 356.49 Inserter‑Extractor is a specialized instrument used as part of Synthes’ intramedullary nail systems — especially solid tibial nails and titanium humeral nails. As implied by its name, it serves dual functions: insertion (driving or guiding the nail into the bone) and extraction (pulling the nail back out when removal is required). It does this by engaging a connecting screw that threads into the proximal end of the implanted nail. The inserter‑extractor then provides a handle for manipulation, allowing clinicians to apply controlled torque or force as needed during fixation or revision procedures. The 9‑3/4″ length gives a balance between reach and control in deeper anatomical sites while remaining manageable in the surgical field.

Because insertion and extraction impose different mechanical demands (insertion often requires pushing with alignment, extraction often requires pulling with force), the tool needs to be robust. The connecting screw interface must be precise so that engagement is secure, avoiding slippage or damage to the implant. The shaft and handle need to withstand the torque and pull forces without deformation. Materials are likely hardened stainless steel, polished to avoid corrosion, and finished to smooth out any fatigue points. The tool must also be compatible with the instrument set: protection sleeves, drill sleeves, guide wires etc., so that the alignment, depth, and insertion path are maintained.

In clinical use, the 356.49 Inserter‑Extractor plays an important role in trauma, fracture fixation, and revision surgeries. It streamlines implant insertion by allowing the surgeon to grip and manipulate the nail with the connecting screw in place, reducing the need for temporary fixtures or makeshift handles. For extraction, it permits removal without needing to open large exposures, provided the connecting screw remains accessible. Surgeons must however ensure that the connecting screw is not damaged or stripped, that the engagement is secure, and that the instrument shows no signs of wear (threads, surfaces, handle) that could compromise its performance. Also sterilization is critical — repeated use in surgical environments can stress instruments; regular inspection for cracks, corrosion, or deformation is needed to prevent intraoperative failures.

This item is used and in good condition.