Radiation-Independent Distal Locking Screw Insertion Using Dual Nail Insertion Handle: Is it a Reliable Method?

Abstract

Background: There are continuous trials to get radiation-independent distal locking to avoid the hazards of radiation exposure. Patients and methods: Thirty cases of diaphyseal tibial fractures were fixed with locked intramedullary nail. A new dual nail insertion handle was used for insertion of the locking screws from distal to proximal position. Results: Success rate was much improved with extra reaming. Failure rate was 20%. Conclusion: This technique is not reliable enough to replace the classic radiation-dependent free-hand technique. Further development of this idea is needed to get a perfect radiation-independent distal locking technique.

Keywords

• distal locking
• free-hand distal locking
• nail-over-nail technique
• radiation-independent distal locking