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FIGURE 36.149
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Flexible intramedullary nail technique. A and B, Radiographs of femoral fracture before (A) and after (B) reduction on fracture table. C, Both nails are placed (medial and lateral) to cross well below fracture site and stopped temporarily at fracture site for ease of passage. D, Both nails are driven past fracture site by manipulating distal fragment, hugging wall of intramedullary canal as necessary. E, Nails are driven into greater trochanteric and cervical area. F, Distal portions of nails are left slightly protruding for ease of removal but not too long to prevent knee motion. SEE TECHNIQUE 36.30.

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