Under image intensification, reduce the fracture and insert the appropriate reaming rod into the canal to the desired nail insertion depth.

Ream in 0.5 mm increments and advance the reamer with steady, moderate pressure. Do not force the reamer. Partially retract the reamer often to clear debris from the medullary canal.

Ream to a diameter 0.5 mm to 1.0 mm greater than nail diameter.

After reaming, remove the reaming assembly. Pass the Medullary Tube [355.01] down the reamed canal over the reaming rod.

Remove the reaming rod and insert a 3.0 mm Guide Rod, with smooth tip [355.041], through the Medullary Tube.

Remove the Medullary Tube leaving the guide rod in position for insertion of the cannulated nail.