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 lateral
decubitus or supine position, the radiation source should be placed on
the medial aspect of the femur. This will facilitate the aiming process,
which is performed laterally.
Note: The minimum required working distance between the lateral
aspect of the femur and the receiver is 47 cm.
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