Here we describe the surgical technique for using distal femoral fine wire traction during retrograde femoral nailing and present case examples. This technique allows for hands-free distraction across the fracture site to restore length and alignment, while not interfering with the preparation and insertion of the retrograde femoral nail. Distal femoral fine wire traction is a useful adjunctive technique to restore length and effect an indirect reduction in femur fractures being stabilized with a retrograde nail.
Keywords: Femur fracture; Fine wire traction; Ligamentotaxis; Retrograde femoral nail; Skeletal traction.
© 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS part of Springer Nature.