Use of the Image Intensifier
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An image intensifier is required for both closed reduction and distal
locking techniques. The image intensifier allows controlled viewing of
the fracture zone for insertion of the reaming rod, medullary reamer
heads and universal nail.
Proper positioning of the image intensifier is extremely important for
locating the distal locking holes. With the patient in the supine
position, the radiation source should be placed laterally to facilitate
the aiming process, which is performed medially.
Note: The required working distance between the medial aspect of
the tibia and the receiver is 47 cm.
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