Inserting the Nail

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Inserting the Nail With controlled blows of the Ram, insert the nail into the canal. To prevent the guide rod from backing out, the Guide Rod Retainer (G, photo on preceding page) may be inserted into the Ram Guide. Image intensification should be used to monitor the passage of the nail across the fracture. Control rotation of the nail using the Insertion Handle. The nail should advance in the medullary canal with each blow of the Ram. If resistance is encountered, remove the nail and ream the canal an additional 0.5 mm to 1.0 mm. When the nail is lully seated, remove the Ram Guide Assembly and guide rod.
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