Femur fracture nailing tips and tricks

Tips and tricks on antegrade and retrograde femoral nailing, getting entry-point and rotational alignment correct with case examples by Jai Rawal
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[@drjsm]

11:06 is the screw out of the nail??

[@jaikirtyrawal5794]

Yes it’s a blocker in the saggital plane to prevent the apex anterior or flexion deformity that you can get with subtrochanteric fractures. Sometimes you can put the nail down without locking and spot a deformity that can then be easily corrected with an appropriate placed blocking screw. As an alternative you can decide if there will be a predictive deformity and put them in advance, then you may wish to decide to create a balanced working length between blockers on either side of the fracture and on occasion even after all that you might realise you didn’t need them in the first place!