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  • 1. Setup
  • 2. Exposure and Nail Placement
  • 3. Femoral Nail Locking Screws
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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

Procedure Outline

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