Closed intramedullary nailing of tibia without c-arm in a resource-deficient setup: nail-over-nail technique

Ahmad, Shameem; Kuldeep, Anil; Nirala, Ravi Kant; Gambhir, Vaibhav; Arshad, Aliya

doi:10.22038/rcm.2023.70559.1439

Closed intramedullary nailing of tibia without c-arm in a resource-deficient setup: nail-over-nail technique

Document Type : Original article

Authors

Shameem Ahmad ¹

Anil Kuldeep ¹

Ravi Kant Nirala ¹

Vaibhav Gambhir ¹

Aliya Arshad ²

¹ Department of orthopaedics lady hardinge medical college, shaheed bhagat singh marg ,new delhi 110001, india

² Post Graduate student , Dept of Biochemistry, Lady Harding Medical College. Delhi University

10.22038/rcm.2023.70559.1439

Abstract

Intramedullary nailing is a standard technique for the treatment of long bone fractures. This technique requires the use of on-table image intensifier in almost every step, of which the most important are guide-wire insertion and distal locking. Therefore, a c-arm is an important tool for closed intramedullary nailing. However, if a technique can be done without the use of a c-arm, intramedullary nailing could be done in setups with deficient resources and in poor countries. Thus, we developed the “nail-over-nail” technique, which can be done without using a c-arm for distal locking of the nail.

Keywords

Tibia

intramedullary nailing

guide wire insertion

distal locking

C-arm

nail-over-nail