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orient the entry tube and pin guide in the desired position insert the 3.2 millimeter guide pin into the proximal tibia so that it docHubes the center of the intramedullary canal remove the inner pin sleeve and use the 12.0 millimeter reamer to open the canal remove the 3.2 millimeter guide pin after accessing the tibial canal insert the 3.0 millimeter ball nose guide wire down the shaft of the tibia and pass the fracture using the guide wire gripper with the tip of the guide wire at the desired depth measure the length of the nail by sliding the guide wire depth gauge over the guide wire and reading the measurement based on the etched line using the cannulated reamers sequentially ream the canal until cortical chatter is obtained it is recommended to ream 1 to 1.5 millimeters over the desired diameter of nail remove the entry tube and insert the nail over the ball nose guide wire and into the canal lightly strike the impactor pad with a mallet to complete the nail insertion remove the
