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1. Introduction
2. Positioning
3. Marking and Incision
4. Insert Nail
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a. Obtain Starting Point for Guidewire
b. Drill Guidewire
c. Open Canal
d. Pass Wire Through Reduced Fracture
e. Measure and Ream
f. Insert Nail while Checking Placement
5. Proximal Locking
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a. Drill Guidewire for Locking Bolt
b. Puncture Iliotibial Band
c. Measure
d. Ream Across Femoral Neck
e. Place Locking Bolt
f. Engage Locking Mechanism
g. Check Reduction and Nail Placement
6. Distal Locking
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a. Drill for 1st Distal Locking Screw
b. Measure
c. Insert Screw
d. Drill and Insert 2nd Screw
e. Final X-ray Check
7. Closing
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Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Sarita Jamil
1
;
Michael Weaver, MD
2
1
University of Central Florida College of Medicine
2
Brigham and Women's Hospital
Tags:
Orthopaedics
Orthopaedic Trauma
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Procedure Outline
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Authors
Michael J. Weaver, MD
Sarita Jamil
Filmed At:
Brigham and Women's Hospital
Article Information
Publication Date
N/A
Article ID
121
Production ID
0121
Volume
N/A
Issue
121
DOI
https://doi.org/10.24296/jomi/121