title: A simple technique for insertion of distal screws into interlocking nails.
abstract: Placement of distal interlocking screws into femoral and tibial nails is an exacting technique. Many techniques are described, each with their advantages and disadvantages. We describe an alternative technique using the "third point in space." This method has been successfully used in > 30 cases. It is universal, reproducible, and inexpensive, avoiding the use of distal targeting guides, expensive radiolucent drills, or visual estimations of alignment.
authors.affiliation: Division of Orthopaedic Surgery, University of North Carolina, Chapel Hill 27599-7055, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Kelley
authors.forename: S
authors.initials: S
authors.lastname: Bonar
authors.forename: O D
authors.initials: OD
authors.lastname: Hussamy
authors.forename: J A
authors.initials: JA
authors.lastname: Morrison
mesh_terms: D001699:Biometry / Q000379:methods; D001863:Bone Screws; D005264:Femoral Fractures / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D013525:Surgical Instruments; D013978:Tibial Fractures / Q000601:surgery