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Retrograde Femoral Intramedullary Nail for a Midshaft Femoral Fracture with an Ipsilateral Subtrochanteric Fracture

Jason P. Den Haese Jr.1; Michael J. Weaver, MD2
1Lake Erie College of Osteopathic Medicine
2Brigham and Women's Hospital

1. Setup

2. Exposure and Nail Placement

  1. Enter Formal Canal with Guidewire
  2. Opening Reamer
  3. Pass Guidewire Across Fracture
  4. Measure for Length of Nail
  5. Sequential Reaming of Femoral Canal
  6. Place Intramedullary Nail over Guidewire with Fluoroscopy

3. Femoral Nail Locking Screws

  1. Distal Locking Screws
  2. Proximal Locking Screws
  3. Final X-Rays