Arnold Besselaar, Daniel Green, Andrew Howard
The nail entry point lies on the lateral surface of the greater trochanter.
The skin incision is centered on the palpable tip of the greater trochanter and extends 3 cm proximally, and distally as required.
The incision should be in line with the medullary canal on the lateral view, which can be marked on the skin using the lateral image intensifier view.
Incise the fascia lata in the same direction to expose the underlying greater trochanter.
The entry point of the nail lies lateral and inferior to the tip of the greater trochanter. This can be clearly seen on an AP image-intensifier view.
Carefully palpate the anterior and posterior borders of the greater trochanter to identify its center.
Close the wound in a standard manner.