title: [Distal locking techniques without fluoroscopy in intramedullar nailing].
abstract: OBJECTIVE
  In this study, we present three distal locking techniques and two checking methods in intramedullar nailing.
  
  
  METHODS
  Between January 1999 and December 2011, we performed distal locking with locked intramedullary nails on 501 femoral bone fractures using bone alignment and aspiration technique without fluoroscopy and 578 tibial bone fractures using medial malleolus alignment, bone alignment and aspiration technique without fluoroscopy at Antalya Training and Research Hospital.
  
  
  RESULTS
  With the combination of these three locking techniques and two checking methods, locking was successful in all cases except one. In the latter case, the nail remained anteriorly, as the distal screws were not fully compliant with the surgical technique.
  
  
  CONCLUSIONS
  Distal locking can be achieved in a short time using one or combining two or more techniques and methods without fluoroscopy.
authors.affiliation: Department of Orthopedics and Traumatology, Antalya Training and Research Hospital, 07030 Muratpaşa, Antalya, Turkey. cengizaldemir@yahoo.com.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Aldemir
authors.forename: Ali
authors.initials: A
authors.lastname: Doğan
authors.forename: Fatih
authors.initials: F
authors.lastname: İnci
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Sertkaya
authors.forename: Fatih
authors.initials: F
authors.lastname: Duygun
mesh_terms: D001858:Bone Nails; D005264:Femoral Fractures / Q000601:surgery*; D005471:Fluoroscopy; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D013978:Tibial Fractures / Q000601:surgery*