- See:
-
Reaming and Nailing Maneuver:
-
Intramedullary Nailing:
-
Miss A Nail Technique:
-
Spiral Blade:
- Incision and Entry into Meduallary Canal
- Template Nail Length & Diameter;
- implant sizes:
- diameters of 9, 10, 11, 12 mm;
- lengths from 300 mm to 480 mm, in 20 mm increments;
- hold radiolucent ruler against lateral aspect of thigh & adjust
tip of ruler until it is flush w/ tip of greater trochanter;
- mark the skin at this level, and move C arm to distal femur,
replace prox. end of ruler at skin mark & take AP image of
distal femur, & read length from distal epiphyseal scar;
- Cannulated Reamer:
- drill over guide wire w/ 13 mm cannulated drill bit, & drill to minimum depth of 10 cm;
- if using
spiral blade, use URFN Broach to enlarge opening to 15 mm,
to accommodate Locking Sleeve;
- Assemble Nail: verify that proximal locking jig has proper alignment;
- Insert Nail;
- insert nail to frx site, & use it to assist w/
reduction;
- pay attention to rotational alignment
- verify fracture
reduction and nail position radiographically;
- if proximal end of nail is below tip of greater troch, then use proximal end cap
(can be extended up to 20 mm)
- release traction;
- Proximal Inter-Locking: 
- Distal Interlocking: 
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- Thanks to
Allen Burrus for his advice and assistance with creation of this page.
