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International Orthopaedics
Published in: International Orthopaedics 4/2009

01-08-2009 | Original Paper

Nail over nail technique for distal locking of femoral intramedullary nails

Authors: Rajesh Rohilla, Roop Singh, Narender Magu, Ashish Devgun, Ramchander Siwach, Ashish Gulia

Published in: International Orthopaedics | Issue 4/2009

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Abstract

The free hand technique remains the most popular method for distal locking; however, radiation exposure is a major concern. In an endeavour to overcome this concern, distal locking with the nail over nail technique is evaluated. Seventy patients with femoral diaphyseal fractures treated by intramedullary nailing were divided in two groups for distal locking: either using the free hand technique (group I) or with the nail over nail technique (group II). The average number of images taken to achieve nail insertion without locking, for distal locking, and for the complete procedure in group I was 25.8, 24.2, and 50.08, respectively, compared with 24.8, 4.1, and 28.9, respectively, in group II (statistically extremely significant decrease in radiation). The nail over nail technique appears to be a reliable solution for decreasing radiation exposure during closed femoral intramedullary nailing. However, over-reaming of 1.5 mm is the key to the success of the technique.
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Metadata
Title
Nail over nail technique for distal locking of femoral intramedullary nails
Authors
Rajesh Rohilla
Roop Singh
Narender Magu
Ashish Devgun
Ramchander Siwach
Ashish Gulia
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0579-y

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