Do It Yourself (DIY) Radiolucent Drill Guide Using a 10 ml Syringe for Freehand Distal Interlocking in...

Distal interlocking during intramedullary femoral, tibial, and humeral nailing is frequently challenging. In the traditional image intensifier (II) 'bull's eye' technique, the implant's interlocking screw hole can be obscured by the radio-opaque chuck, necessitating multi-planar checks by tilting the drill bit before drilling. This manoeuvre can adversely alter the drill trajectory, compromise fixation, or damage the implant. We introduce a surgical technique that uses a 10 ml syringe to overcome this difficulty.