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8Nail insertion

Nail insertion

After the canals have been prepared and both fractures have been reduced, the nails can be inserted sequentially. While inserting a nail into one bone, the other bone should be provisionally stabilized by leaving a guide wire or a reamer in situ. With small diameter forearm nails, or nails without guide wires, the fracture may need to be reduced again, after removal of the reamer.
Remember that a fixed nailed bone may hinder the reduction of the other bone.