Closed Cephalomedullary Nail Fixation of a Reverse Oblique Subtrochanteric Femoral Fracture in the Lateral Position

1. Exposure and Reduction

1. Lateral Incision Over Trochanter
2. Provisional Wire Fixation

2. Proximal Fixation

1. Insert Guidewire for Drill
2. Drill Through Proximal Cortex
3. Ream Medullary Canal
4. Insert Nail
5. Attach Aiming Arm
6. Insert Lateral Guidewire for Drill
7. Drill Through Lateral Cortex
8. Insert Spiral Blade
9. Insert Locking Mechanism
10. Adjust as Needed

3. Distal Fixation

1. Align Drill with Distal Nail
2. Drill Through Cortex
3. Insert 1st Distal Screw
4. Repeat for 2nd Screw

4. Post-op Remarks