previous page: 8/17 next

Antegrade nailing (trochanteric)

Antegrade nailing femoral shaft – trochanteric entry point – Too distal

Pitfall: too distal incision

If the incision is too far distal (closer to the greater trochanter), the approach will not be in line with the femoral shaft (red dashed line), and eccentric reaming may lead to weakening of the medial cortex and possibly a medial blow-out fracture.