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10Distal locking

Femoral shaft – Antegrade nailing – Screw insertion pearl

Pearl: If the contact between the screw driver and the locking screw is lost, the screw may move within the soft tissue and become extremely hard to capture. To prevent this time-consuming complication, the locking screw should be lassoed with a strong absorbable suture.

Pitfall: If the screw holes are not perpendicular to the nail, the locking screw may become trapped and may not be advanced properly.