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5Guide wire insertion

Bending the guide wire

Bending the guide wire

Slightly bending the guide wire 10-15 mm above its tip is helpful for two reasons:

  • Passing through the fracture site into the distal fragment is easier, since rotation of the guide wire redirects its tip.
  • It also facilitates the proper position of the tip in the distal metaphysis.

A guide wire like the one illustrated, with its ball a little proximal to the end, allows the bend to be placed beyond the ball, so that it cannot jam inside a cannulated reamer.