Synthes The Titanium Femoral Nail System, Technique Manual

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OPENING
T
HE
FEMUR
17
Reaming guidelines
(optional technique)
Under image intensification, reduce the fracture and
insert the appropriate reaming rod into the canal as
far as the distal metaphysis.
Ream to desired diameter in 0.5 mm increments.
Advance the reamer with a steady, moderate pressure.
Do not force the reamer. Partially retract the reamer
often to clear debris from the medullary canal.
For: Ream:
9 mm or 10 mm nails 0.5 mm > nail diameter
11 mm or 12 mm nails 1.0 mm > nail diameter
13 mm –15 mm nails 1.5 mm –2.0 mm > nail diameter
After reaming, withdraw the reamer shaft from the
canal until the reamer head is visible. To prevent loss
of reduction, grasp the reaming rod at the canal entry
point and hold the reaming rod in place using the
Holding Forceps [351.782].
Leave the 2.5 mm reaming rod in position for insertion
of the cannulated nail.