A foolproof technique for lock-check and distal locking in interlock nailing

Interlocked nailing as a treatment modality for long bones' fracture is one of the most widely performed orthopedic surgeries. Closed locked nailing is also the gold standard method of treating femoral and tibial shaft fractures. But the most variable factor in this procedure is distal locking. It may sometimes be time consuming and involve radiation exposure. The freehand technique for distal locking of intramedullary nails is plagued with dependence on an image intensifier which may not be available at all centers especially in developing countries like ours. Also, the radiation and operative time increase with this method.Hence, there is a need to develop a radiation safe and sound method in this green world to decrease carbon emissions to replace/supplement freehand distal locking techniques. “Tak-Tak” method described here decreases our dependence on the image intensifier and in addition improves accuracy when using aiming jigs.