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Nailing approach

Drape the patient so that the iliac crest is exposed, since the incision will need to be quite proximal.

General considerations

Drape the patient so that the iliac crest is exposed, since the incision will need to be quite proximal.
The incision for nail insertion must lie on the curved “axis” (dashed line) of the femoral canal. This is somewhat posterior to what one might expect.
By making the incision in line with the path that instruments and nail must travel, it is easier to avoid errors that might lead to eccentric reaming, or perforation of the posterior femoral shaft cortex.