Using the DCS for Subtrochanteric Fractures, contd.

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2. Place the DCS Drill Guide along the axis of the femoral shaft so the central guide pin will enter the femur slightly anterior to the midpoint of the greater trochanter, near the vastus ridge. The precise level at which the guide pin enters the femur should be determined preoperatively. (See "Preoperative Considerations") Insert the central guide pin parallel to the anteversion pin in the lateral view. Predrilling of the lateral cortex with the 2.0 mm Drill Bit is recommended in dense bone.

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