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7Canal preparation

Canal preparation

Whenever open, or closed, nailing is performed, both medullary canals should be prepared before either bone can be definitively nailed.

In most cases reaming needs to be performed due to the narrowness of the intramedullary canals and the risk of nail incarceration, or iatrogenic fracture.

In some nail designs, the reamer can be used to aid reduction by levering the fragments.