A novel and reproducible technique of distal locking in intramedullary nailing of long bones ‘The push with hand technique

Interlocked nailing as a treatment modality for long bone fractures is one of the most widely performed orthopedic trauma surgeries. Closed locked nailing is the gold standard method of treating the long fractures. One of the most difficult steps in this surgery is distal locking of screws. Various techniques have been described for distal locking, but sometimes they become unsuccessful, time consuming and involve excessive radiation exposure. Also they involve various specialized equipments which increase the surgical time and cost. We present a simple, safe, cost effective and highly reproducible technique for distal locking which involves pushing the drill bit into the locking holes with hand.