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4Reaming and nail insertion

In most patients the nail, mounted on the insertion device, can be inserted manually.

Achieve a neck-shaft axis > 130°

Avoiding varus deformity is important to improve fixation, and to preserve functionally important anatomy. Begin by choosing a nail with a neck-shaft angle of at least 130°.
Tips to correct varus:

  • Advance nail
  • Increase traction
  • Remove guide wire from the femoral head and abduct extremity (this will require modifying its entrance channel).