Expert R/AFN Retrograde /Antegrade Femoral Nail. - Osteosyntese

Antegrade approach –Opening the proximal femur1Position patientPlace the patient in a supine position or lateral decubitusposition (not shown) on a fracture or radiolucent table.It is recommended to slightly heighten and adductthe fractured leg, which facilitates the approach to the nailinsertion site.Position the C-arm to enable visualisation of the proximaland distal femur in both the AP and lateral views.The contralateral leg should be flexed in the hip and inthe knee to facilitate visualisation by image intensifier.2Reduce fracturePerform closed reduction manually by axial traction underimage intensifier. In case of older fractures, the use ofthe large distractor (394.350) or pinless fixator (186.310) maybe appropriate under certain circumstances.52 Synthes Expert Retrograde /Antegrade Femoral Nail Technique Guide