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Introduction
1. Exposure and Reduction
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a. Lateral Incision Over Trochanter
b. Provisional Wire Fixation
2. Proximal Fixation
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a. Insert Guidewire for Drill
b. Drill Through Proximal Cortex
c. Ream Medullary Canal
d. Insert Nail
e. Attach Aiming Arm
f. Insert Lateral Guidewire for Drill
g. Drill Through Lateral Cortex
h. Insert Spiral Blade
i. Engage Locking Mechanism
j. Adjust as Needed
3. Distal Fixation
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a. Align Drill with Distal Nail
b. Drill Through Cortex
c. Insert 1st Distal Screw
d. Repeat for 2nd Screw
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Closed Cephalomedullary Nailing of Subtrochanteric Hip Fracture
Robert W. Burk IV, MS
1
;
Michael Weaver, MD
2
1
Lake Erie College of Osteopathic 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
Robert W. Burk IV, MS
Filmed At:
Brigham and Women's Hospital
Article Information
Publication Date
N/A
Article ID
100
Production ID
0100
Volume
N/A
Issue
100
DOI
https://doi.org/10.24296/jomi/100