Simultaneous use of cannulated reamer and schanz screw for closed intramedullary femoral nailing

This report has been verified by one or more authors of the original publication.

60 patients with femoral diaphyseal fractures, scheduled to receive operation with closed interlocked nailing were placed in 1 of 2 operative treatment groups to test the effectiveness of cannulated reamer in the proximal fragment as an intrameduallry joystick, and Shanz screw in the distal fragment as a percutaneous joystick during femoral nailing. Patients in group 1 were given the experimental treatment using the cannulated reamer and Shanz screw, while those in the second group were given a conventional treatment (fluroscopy alone). Results showed that those who were operated with a cannulated reamer in the proximal fragment as an intrameduallry joystick, and Shanz screw in the distal fragment as a percutaneous joystick, had significantly reduced guide wire insertion times and radiation exposure during the procedure.