BACKGROUND:The insertion of distal locking screws on an intramedullary nail can be problematic as there is no hardware such as a jig to aid insertion. Newly developed computer aided techniques are available but the cost can be prohibitive. Insertion of distal screws usually relies wholly on image intensifier guided positioning. This can be time consuming and requires many x-rays to be taken in order to create the 'perfect circles' on the image intensifier that demonstrate satisfactory alignment. We propose a technique that decreases insertion time and requires fewer image intensifier images to be taken while inserting a distal locking screw.
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