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  • Title
  • 1. Exposure and Reduction
  • 2. Proximal Fixation
  • 3. Distal Fixation
  • 4. Post-op Remarks

Closed Cephalomedullary Nail Fixation of a Reverse Oblique Subtrochanteric Femoral Fracture in the Lateral Position

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Robert W. Burk IV, MS1; Michael J. Weaver, MD2
1Lake Erie College of Osteopathic Medicine
2Brigham and Women's Hospital

Orthopaedics

Procedure Outline

Table of Contents

  1. 1. Exposure and Reduction
    1. 2. Proximal Fixation
      1. 3. Distal Fixation
        1. 4. Post-op Remarks
          1. Lateral Incision Over Trochanter
          2. Provisional Wire Fixation
          1. Insert Guidewire for Drill
          2. Drill Through Proximal Cortex
          3. Ream Medullary Canal
          4. Insert Nail
          5. Attach Aiming Arm
          6. Insert Lateral Guidewire for Drill
          7. Drill Through Lateral Cortex
          8. Insert Spiral Blade
          9. Insert Locking Mechanism
          10. Adjust as Needed
          1. Align Drill with Distal Nail
          2. Drill Through Cortex
          3. Insert 1st Distal Screw
          4. Repeat for 2nd Screw

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          Filmed At:

          Brigham and Women's Hospital

          Article Information

          Publication Date
          Article ID100
          Production ID0100
          Volume2023
          Issue100
          DOI
          https://doi.org/10.24296/jomi/100