Radiation-free insertion of distal interlocking screw in tibial and femur nailing: A simple technique

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Radiation-free Insertion of Distal Interlocking Screw in Tibial and Femur Nailing: A Simple Technique

BACKGROUND Distal interlocking screw insertion in intramedullary nailing of long-bone fracture is a challenging task for orthopedic surgeons. It is difficult particularly when the surgeon is in his learning stage or when image intensifier is not available. We describe a radiation-free technique of distal interlocking screw insertion which is easy and practicable. MATERIALS AND METHODS In this...

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Distal interlocking screw placement in the femur: free-hand versus electromagnetic assisted technique (sureshot).

OBJECTIVES To compare the free-hand (FH) technique of placing interlocking screws to a commercially available electromagnetic (EM) targeting system in terms of operating time, radiation dose, and accuracy of screw placement. METHODS Between September 2011 and July 2012, we prospectively randomized 100 consecutive femur shaft fractures in 99 patients requiring intramedullary nails to either FH...

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Antegrade interlocking nailing for distal femoral fractures.

PURPOSE To assess outcomes of antegrade interlocking nailing for supracondylar or intercondylar fractures of the distal femur. METHODS Records of 10 women and 20 men aged 20 to 70 (mean, 48.7) years who underwent antegrade interlocking nailing for distal femoral fractures were reviewed. 23 patients had closed fractures and 7 had open fractures; 6 had associated fractures of the forearm or tib...

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Unreamed intramedullary nailing with oblique proximal and biplanar distal interlocking screws for proximal third tibial fractures.

PURPOSE To assess the outcome of unreamed intramedullary nailing through the lateralised entry point using oblique proximal and biplanar distal interlocking screws. METHODS 15 men and 3 women aged 25 to 58 (mean, 37) years underwent unreamed intramedullary nailing with oblique proximal and biplanar distal interlocking screws for proximal third metaphyseal tibial fractures. The entry point was...

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Anterior Tibial Artery Impingement by a Distal Interlocking Screw: A Case Report

A case is presented of a twenty-eight-year-old male with bilateral closed tibial fractures presenting with no right posterior tibial pulse, who was treated with bilateral reamed intramedullary nails. A post-operative arteriogram, to assess injury to the posterior tibial artery due to the initial insult, revealed impingement of the right anterior tibial artery by the most distal screw of the dis...

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ژورنال

عنوان ژورنال: Journal of Surgical Technique and Case Report

سال: 2012

ISSN: 2006-8808

DOI: 10.4103/2006-8808.100346