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Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Table of Contents
1. Introduction
2. Positioning
3. Marking and Incision
4. Insert Nail
- Obtain Starting Point for Guidewire
- Drill Guidewire
- Open Canal
- Pass Wire Through Reduced Fracture
- Measure and Ream
- Insert Nail While Checking Placement
5. Proximal Locking
- Drill Guidewire for Locking Bolt
- Puncture Iliotibial Band
- Measure
- Ream Across Femoral Neck
- Place Locking Bolt
- Engage Locking Mechanism
- Check Reduction and Nail Placement
6. Distal Locking
- Drill for 1st Distal Locking Screw
- Measure
- Insert Screw
- Drill and Insert 2nd Screw
- Final X-ray Check
7. Closure