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10Distal locking

Femoral shaft – Antegrade nailing – Second locking screw

Second locking screw

The second locking screw is inserted into the distal locking hole. After distal locking, an axial blow to the knee region may be used to reduce any fracture distraction.

Alternatively, when distal locking is completed prior to proximal locking, a slotted hammer can be used to pull back the locked nail and the distal fragment.