4832 views
Closed Cephalomedullary Nail Fixation of a Reverse Oblique Subtrochanteric Femoral Fracture in the Lateral Position
1. Exposure and Reduction
- Lateral Incision Over Trochanter
- Provisional Wire Fixation
2. Proximal Fixation
- Insert Guidewire for Drill
- Drill Through Proximal Cortex
- Ream Medullary Canal
- Insert Nail
- Attach Aiming Arm
- Insert Lateral Guidewire for Drill
- Drill Through Lateral Cortex
- Insert Spiral Blade
- Insert Locking Mechanism
- Adjust as Needed
3. Distal Fixation
- Align Drill with Distal Nail
- Drill Through Cortex
- Insert 1st Distal Screw
- Repeat for 2nd Screw