Reaming Guidelines
Optional Technique
Click on image for enlarged view
Under image intensification, reduce
the fracture and insert the approriate
reaming rod into the canal to
the level of the distal metaphysis.
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 the Guide Rod, with smooth
tip through the Medullary Tube.
Remove the Medullary Tube,
leaving the guide rod in position
for insertion of the cannulated nail.
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