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9Locking of the nail

Backslap technique

Backslap technique for correction of fragment diastasis

Fracture distraction interferes with healing, and must be eliminated. Distraction may be corrected by locking the nail distally, and then “backslapping” the nail with the appropriate instrumentation. The distal locking screws must be inserted first. Carefully hammer the nail, as if removing it, under fluoroscopic control until fracture contact and desired length are achieved.