Intramedulary Nailing

Question 1

You plan to convert a patient with an external rig fixator to an intramedullary nail.
The pins are showing slight signs of infections, what should you consider?

Answer 1

Consider placing the patient on abx before placing the nail.

Question 2

Should the medullary canal be reamed larger or smaller than the nail?

Answer 2

Recommended 1.5 mm larger than the nail.