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  • 1. Exposure and Reduction
  • 2. Proximal Fixation
  • 3. Distal Fixation
  • 4. Post-op Remarks
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Closed Cephalomedullary Nail Fixation of a Reverse Oblique Subtrochanteric Femoral Fracture in the Lateral Position


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

Procedure Outline

  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