Paragraph Number

109

Referring to FIGS. 35-37, the cross guide 400 is mounted to the inserter 300 which is attached to the fastener 100. The cross guide 400 is pivoted relative to the inserter 300 to direct the cross fixation axis 420 in a desired direction. For example, it may be pivoted to align with a desired entry point on the bone 632. The rotation stops guarantee that the axis 420 is not angled so acutely as to prevent passage of a fixation member through the fastener aperture 118. The sleeve 422 is translated axially to position the sleeve close to the bone entry point 632 to stabilize a guide wire 634 as it is inserted through the sleeve, into the bone, and through the aperture 118. A fixation screw 636 is advanced over the guide wire 634 into the bone and through the aperture 118. The guide wire 634 is then removed. In one embodiment, the screw 636 is sized and positioned for bi-cortical fixation. In one embodiment, the screw passes through both bone portions to further stabilize the interface 604.

Added by DJM 12 2021