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Fig. 4 | BMC Musculoskeletal Disorders

Fig. 4

From: A novel cerclage wiring technique in intertrochanteric femoral fractures treated by intramedullary nails in young adults

Fig. 4

Cerclage wiring and entrance of intramedullary nail. a A circumferential wire is used to augment anatomical reduction. The wire surrounds the medial calcar above the fractured lesser trochanter and the lateral wall. b The lateral imaging shows the displaced fragment of the greater trochanter is also encircled (green arrow). Following entry of a guide pin from the tip of the greater trochanter, anteroposterior (c) and lateral (d) imaging show the reduction is maintained. e A proximal femoral nail antirotation (PFNA) is inserted to an appropriate depth

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