OTA 2019: New ultradistal locking tool for intramedullary tibial nailing may be easier and faster .
The Application of a New Type of Ultradistal Locking Tools for Intramedullary Nailing in the Treatment of Tibial Fractures
Distal locking screws in intramedullary nails are a demanding part of the procedure. The authors in this report randomized patients to receive either a traditional distal locking screw, or a new ultradistal locking screw. They randomized 286 patients into the two groups and measured operative time, fluoroscopy use, and one-time locking ratio. The ultradistal screw group had significantly faster operative time, fewer fluoroscopy shots, and more frequent single-attempt locks.
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