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  • Title
  • 1. Introduction
  • 2. Positioning
  • 3. Marking and Incision
  • 4. Insert Nail
  • 5. Proximal Locking
  • 6. Distal Locking
  • 7. Closure

Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table

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Sarita Jamil1; Michael J. Weaver, MD2
1University of Central Florida College of Medicine
2Brigham and Women's Hospital

Orthopaedics

Procedure Outline

Table of Contents

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

                 

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                Filmed At:

                Brigham and Women's Hospital

                Article Information

                Publication Date
                Article ID121
                Production ID0121
                Volume2024
                Issue121
                DOI
                https://doi.org/10.24296/jomi/121