Closed intramedullary nailing of tibia without c-arm in a resource-deficient setup: nail-over-nail technique
Intramedullary nailing is a standard technique for the treatment of long bone fractures. This technique requires the use of on-table image intensifier in almost every step, of which the most important are guide-wire insertion and distal locking. Therefore, a c-arm is an important tool for closed int...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
Mashhad University of Medical Sciences
2023-06-01
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Series: | Reviews in Clinical Medicine |
Subjects: | |
Online Access: | https://rcm.mums.ac.ir/article_22714_3267bb591cb41d04c8f3c62a2252a745.pdf |
Summary: | Intramedullary nailing is a standard technique for the treatment of long bone fractures. This technique requires the use of on-table image intensifier in almost every step, of which the most important are guide-wire insertion and distal locking. Therefore, a c-arm is an important tool for closed intramedullary nailing. However, if a technique can be done without the use of a c-arm, intramedullary nailing could be done in setups with deficient resources and in poor countries. Thus, we developed the “nail-over-nail” technique, which can be done without using a c-arm for distal locking of the nail. |
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ISSN: | 2345-6256 2345-6892 |