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Antegrade nailing (trochanteric)

Antegrade nailing femoral shaft – trochanteric entry point

Correct trochanteric entry point

The correct location for the trochanteric entry point is just next to the tip of the greater trochanter in the AP view. It is important that the entry be exactly centered on the axial view, in order to prevent eccentric reaming.

In unreamed nailing, an incorrect entry point may lead to blow out of either the posterior, or anterior wall of the greater trochanter.