*Corresponding author:Özgür Başal, Ministry of Health, Ağrı State Hospital, Orthopedics and Traumatology Agrı, Turkey
Received: October 01, 2018; Published: October 26, 2018
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Objectives: The procedure for distal interlocking of intramedullary nails can be challenging problem for surgeons. Following the nail insertion, the problems associated with the location of the distal holes and correct screw placements are well known. A lot of techniques and devices have been studied to aid distal targeting, in attempts to overcome some of the associated problems. The development of the techniques and devices help to reduce radiation doses.
Methods: Forty patients who underwent surgery with closed diaphysial fractures of the femur were operated between January 2014 to December 2015 with mean age 34 (ranged between 20-48). Four different distal locking methods were compared with similar fracture patterns.
Results: Magnetic-Manual targeting group was shown significantly better operating and fluoroscopy time than hand-helped technique. Insideout distal locking method was also shown excellent result with an accuracy of 100%.
Conclusion: We, orthopedic surgeons, have many risks of surgery. The radiation exposure is just one of them. Fluoroscopy- free innovations should be more easy to reach and cheap. A prospective-randomized comparison of 4 different distal locking methods were discussed in this paper.