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Placement of the distal locking screws of the femoral intramedullary nail without radiation

✍ Scribed by K. A. Steriopoulos; G. M. Kontakis; P. G. Katonis; I. A. Galanakis; E. K. Dretakis

Publisher
Springer
Year
1996
Tongue
English
Weight
166 KB
Volume
115
Category
Article
ISSN
1434-3916

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✦ Synopsis

An H-shaped device was invented to facilitate placement of the distal interlocking screws during closed femoral nailing. Eleven sound cadaveric femurs were experimentally nailed before the application of the device in 15 patients with a femoral shaft fracture. In all experimental cases the insertion of the distal screws proved to be easy. In 11 of 15 patients with a femoral fracture, distal locking was achieved using the H-device. These primary results should stimulate further clinical application of the device.

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## Abstract ## Background Distal locking is the key procedure of the intramedullary nailing operation. It is difficult to precisely locate the locking path, and intraoperative radiation exposure is also a serious problem. The advantages and disadvantages of different approaches applied in this ope