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10Nail capping and wound closure

Insertion of an end cap

Remove the insertion handle and its connecting screw.
Insert an end cap, if desired, to prevent ingrowth of bony tissue, which will interfere with nail removal.
End caps of different lengths may be available to increase the overall length of the nail, if necessary, after final positioning of nail for distal fracture. Make sure that the proximal end of the end cap does not protrude above the tibial surface.
Radiographic guidance may help orient the end cap and make insertion easier.