In the sequence of intramedullary nailing, which step is performed last?

In the sequence of intramedullary nailing, which step is performed last?

• A. Position
• B. Reduction
• C. Insertion
• D. Removal

Answer: (D)

The sequence being tested is the order of actions during an intramedullary nailing procedure. You start by positioning the patient and limb, then achieve fracture alignment (reduction). After reduction, you prepare the canal and insert the intramedullary nail, securing it with locking screws. The final action in the operative sequence is removing the temporary instruments used to facilitate the procedure (such as guide wires, reamers, retractors) from the field before wound closure. So removal is last because it represents clearing the surgical field after the implant is in place and final checks are completed.

The sequence being tested is the order of actions during an intramedullary nailing procedure. You start by positioning the patient and limb, then achieve fracture alignment (reduction). After reduction, you prepare the canal and insert the intramedullary nail, securing it with locking screws. The final action in the operative sequence is removing the temporary instruments used to facilitate the procedure (such as guide wires, reamers, retractors) from the field before wound closure. So removal is last because it represents clearing the surgical field after the implant is in place and final checks are completed.