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4Reaming and nail insertion

Using a protection sleeve, insert an appropriate drill bit over the guide wire.

Pearl: Maintaining reduction during reaming

If the fracture passes through the nail entry site, a medially directed force applied to the lateral trochanteric region helps prevent drills or reamers from displacing the greater trochanteric segment(s) laterally. This allows reaming of a channel for the nail, so that its insertion does not distract the fracture.