Abstract
Distal locking of intramedullary nails may be difficult and time consuming. We describe a simple technique using a readily available instrument (McIndoe's scissors) to aid start of this procedure and to locate both distal locking holes at one time. By holding the scissors out of the operative field and facilitating rapid incisions, the operative procedure time and, importantly, the radiation exposure time may be reduced.
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- Goodall J. D. An image intensifier laser guidance system for the distal locking of an intramedullary nail. Injury. 1991 Jul;22(4):339–339. doi: 10.1016/0020-1383(91)90026-b. [DOI] [PubMed] [Google Scholar]
- Hashemi-Nejad A., Garlick N., Goddard N. J. A simple jig to ease the insertion of distal screws in intramedullary locking nails. Injury. 1994 Aug;25(6):407–408. doi: 10.1016/0020-1383(94)90139-2. [DOI] [PubMed] [Google Scholar]
- Krettek C., Könemann B., Miclau T., Schandelmaier P., Blauth M., Tscherne H. A new technique for the distal locking of solid AO unreamed tibial nails. J Orthop Trauma. 1997 Aug;11(6):446–451. doi: 10.1097/00005131-199708000-00015. [DOI] [PubMed] [Google Scholar]
- Mahaisavariya B., Laupattarakasem W., Kosuwon W. An aiming device for distal locking in closed locked femoral nailing. Injury. 1992;23(2):143–144. doi: 10.1016/0020-1383(92)90056-x. [DOI] [PubMed] [Google Scholar]
- Müller L. P., Suffner J., Wenda K., Mohr W., Rommens P. M. Radiation exposure to the hands and the thyroid of the surgeon during intramedullary nailing. Injury. 1998 Jul;29(6):461–468. doi: 10.1016/s0020-1383(98)00088-6. [DOI] [PubMed] [Google Scholar]
- Owen T. D., Coorsh J. Insertion of the distal locking screws in femoral nailing: a simplified technique. Injury. 1993 Feb;24(2):101–103. doi: 10.1016/0020-1383(93)90198-f. [DOI] [PubMed] [Google Scholar]
- Sanders R., Koval K. J., DiPasquale T., Schmelling G., Stenzler S., Ross E. Exposure of the orthopaedic surgeon to radiation. J Bone Joint Surg Am. 1993 Mar;75(3):326–330. doi: 10.2106/00004623-199303000-00003. [DOI] [PubMed] [Google Scholar]
- Saw Y. Closed intramedullary distal locking made easier. Injury. 1993 Mar;24(3):214–215. doi: 10.1016/0020-1383(93)90307-r. [DOI] [PubMed] [Google Scholar]
- Viant W. J., Phillips R., Griffiths J. G., Ozanian T. O., Mohsen A. M., Cain T. J., Karpinski M. R., Sherman K. P. A computer assisted orthopaedic surgical system for distal locking of intramedullary nails. Proc Inst Mech Eng H. 1997;211(4):293–300. doi: 10.1243/0954411971534412. [DOI] [PubMed] [Google Scholar]