Distal locking techniques without fluoroscopy in intramedullar nailing
Cengiz Aldemir1, Ali Doğan1, Fatih İnci2, Ömer Sertkaya1, Fatih Duygun1
1Antalya Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, Antalya, Türkiye
2İskenderun Devlet Hastanesi Ortopedi ve Travmatoloji Kliniği, İskenderun, Türkiye
Keywords: Aspiratör; floroskopi; intramedüller çivileme.
Objectives: In this study, we present three distal locking techniques and two checking methods in intramedullar nailing.
Patients and methods: Between January 1999 and December 2011, we performed distal locking with locked intramedullary nails on 501 femoral bone fractures using bone alignment and aspiration technique without fluoroscopy and 578 tibial bone fractures using medial malleolus alignment, bone alignment and aspiration technique without fluoroscopy at Antalya Training and Research Hospital.
Results: With the combination of these three locking techniques and two checking methods, locking was successful in all cases except one. In the latter case, the nail remained anteriorly, as the distal screws were not fully compliant with the surgical technique.
Conclusion: Distal locking can be achieved in a short time using one or combining two or more techniques and methods without fluoroscopy.