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.