Fixation of subtrochanteric fracture with antegrade intramedullary nail locked in reconstruction mode. A, Patient placed supine (or lateral) on fracture table. B, Small incision beginning approximately 3 cm proximal to greater trochanter and extended proximally. C, Establishment of precise entry portal (medial trochanteric portal or piriformis fossa portal, depending on nail selected). D, Introduction of combination entry reamer/channel reamer and (E) proximal reaming. F, Reduction tool used to reduce fracture (G). H, Insertion of ball-tipped guide rod across fracture. I, Measurement for length of nail. J, Reaming of femoral shaft sequentially through the channel reamer. K, Placement of intramedullary nail and locking proximally in reconstruction mode. SEE TECHNIQUE 55.7.