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Guide wire insertion

Hand reamer

Hand reamer

Entry site preparation with one of the techniques just described usually permits insertion of the guide wire into the diaphyseal medullary canal. If cancellous bone remains in the way, complete the entry with a hand reamer. These instruments (in diameters of 6,7 and 8 mm ) are also helpful for old fractures and non-unions, when the medullary canal is plugged with callus.