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KMID : 0377519950200010043
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Chung-Ang Journal of Medicine
1995 Volume.20 No. 1 p.43 ~ p.50
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A Simplified Technique of Distal Locking Screw Fixation of Tibial Interlocking Nail
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Abstract
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Failure to determine distal tibial locking screw hole position can sometimes prolong operation time for placing interlocking screw and increased radiation hazard. We attempted to assess progress in the distal locking screw in tibial nail that
uses
target device improved the accuracy of distal screw placement and reduced the radiation exposure. The authors analyzed 22 patients of the tibial fractures that treated by interlocking IM nailing using target device in the Department of Orthpaedic
Surgery, Chung-Ang university from November 1990 to December 1994. Among these patients, except 1 cases, all of the distal tibial drill holes attempted were successfully made with the first pass of a drill without image intensifier monitoring.
Compared with the commonly used free-hand method, our target device assisted screw placement offer a reduction in the amount of time and radiation exposure to insert distal locking tibial screws.
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