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8Nail insertion

Femoral shaft – Antegrade nailing – Nail passing fracture zone

Passing the fracture zone

It is important that the tip of the nail does not become trapped in the distal main fragment because blow out fractures can occur. Each gentle hammer blow should advance the nail. Do not force the nail through a tight canal – if necessary, re-ream to another 0.5 mm diameter.

In many cases, the nail will help to align the fracture.