Reaming Guidelines
Optional Technique

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Reaming Guidelines Under image intensification, reduce the fracture and insert the approriate reaming rod into the canal to the level of the distal metaphysis.

Ream in 0.5 mm increments, and advance the reamer with steady, moderate pressure. Do not force the reamer. Partially retract the reamer often to clear debris from the medullary canal.

Ream to a diameter 0.5 mm to 1.0 mm greater than nail diameter.

After reaming, remove the reaming assembly. Pass the Medullary Tube [355.01] down the reamed canal, over the reaming rod.

Remove the reaming rod and insert the Guide Rod, with smooth tip through the Medullary Tube.

Remove the Medullary Tube, leaving the guide rod in position for insertion of the cannulated nail.

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