The Adult Hip 10: Nailing Intertrochanteric Hip Fractures

Obtain appropriate views. Locate the optimal starting point for the trochanteric entry nail. Look for the Perfect Circle. Pearls and technical fine points are your new tools to achieve the best results in intertrochanteric nailing. Drs. Cannada and Otto reveal techniques perfected through vast experience with this procedure.

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Obtain appropriate views.

Locate the optimal starting point for the trochanteric entry nail.

Look for the Perfect Circle.

Pearls and technical fine points are your new tools to achieve the best results in intertrochanteric nailing. Drs. Cannada and Otto reveal techniques perfected through vast experience with this procedure. Follow their strategy and learn:

Which fractures are best suited to intramedullary nailing
How to match your treatment to the degree of instability
Why unstable fractures are better treated with an intramedullary nail than a sliding hip screw
Why an intramedullary nail is not the gold standard for treating a stable intertrochanteric fracture
The best method to obtain AP and lateral images with flouroscopy
How to locate the optimal starting point for the entry nail
The best method to reduce an unstable intertrochanteric fracture
How to know when the guideline is inserted correctly
Why you should not use a hammer -- and pearls to help you avoid the needPearls to ensure that your entry is centered
. How to use fluoroscopy to find a perfect circle to increase accuracy in placing the distal interlocking screws.

Watch Drs. Cannada and Otto demonstrate essential techniques, including:

Nail insertion
Placement of a proximal interlocking screw