DOI: 10.36347/sjams.2015.v03i06.011

Pages: 2207-2209

Diaphyseal fractures of femur are most common due to increase in road traffic accidents and fall from height from building constructions. Closed reduction or open reduction and intramedullary, interlocking ise surgical treatment of choice for the clean diaphyseal fractures. In most of the institutions image intensifier is used to perform the procedure and for the distal locking. Using distal locking jig avoids the usage of image intensifier and its hazards. Thirty cases of closed diaphyseal fracture of femur were managed with interlocking nail without using image intensifier and using distal locking jig for distal locking between May 2012 and December 2014. And post operatively we evaluated the accuracy of distal locking, using check x ray. The results were based on the postoperative radiological observations of the in all the thirty patients the single bolt was locked accurately using the distal locking jig in 19 mid diaphyseal fractures and in remaining 11 double distal bolts locking in distal third shaft fractures. We achieved 100% accuracy in distal locking using the distal locking jig. In conclusion Interlocking nailing using distal locking jig is an excellent tool for the distal locking for the diaphyseal fractures of femur. This reduces the hazards of image intensifier to the patient and surgical team.