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A Trigonometric Technique for Distal Locking of Intramedullary Nails without the Need for Specific Instrumentation

M Muñoz Barroso¹, J Cabello Blanco¹, J Nuñez de Armas¹

¹Department of Pediatric Orthopedics, La Paz University Hospital, Madrid, Spain.

Strategies in Trauma and Limb Reconstruction

|September 22, 2025

Abstract

None:

This article presents a practical technique for distal intramedullary nail locking based on fluoroscopic triangulation. Unlike traditional methods, which require precise orientation of the C-arm to obtain perfect circles on radiographs, this approach allows locking to be performed with less radiation exposure and surgical time. The technique does not require additional equipment. It is thus proposed as a safe and efficient technique for distal locking.

How To Cite This Article:

Barroso MM, Blanco JC, de Armas JN, et al. A Trigonometric Technique for Distal Locking of Intramedullary Nails without the Need for Specific Instrumentation. Strategies Trauma Limb Reconstr 2025;20(1):47-49.

Keywords:

Blocking screw Deformity correction Distal locking Internal lengthening nail Intramedullary nail Limb lengthening Long bone fracture PRECICE Surgical technique

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