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Retrograde Femoral Intramedullary Nail

Jason P. Den Haese Jr.1; Michael Weaver, MD2
1Lake Erie College of Osteopathic Medicine
2Brigham and Women's Hospital


  1. Prep and Drape, Surgical Timeout

Exposure and Nail Placement

  1. Enter Formal Canal with Guide
  2. Use Opening Reamer
  3. Pass Guidewire Across Fracture
  4. Measure for Length of Nail
  5. Reaming Femoral Canal

Targeting of Nail

  1. Check Guidewire Under Fluoro

Femoral Nail Locking Screws

  1. Distal Locking Screw Placement
  2. Proximal Locking Screws