C. Krettek et al., A NEW RADIATION-FREE AIMING TECHNIQUE FOR THE DISTAL LOCKING SCREWS OF THE UNREAMED TIBIAL NAIL (UTN), Langenbecks Archiv fur Chirurgie, 1996, pp. 947-950
A mechanical aiming device for the placement of distal locking screws
of the unreamed tibial nail (UTN) has been developed. At the level of
the distal nail end, a roughly placed ''contact hole'' is drilled (dia
meter, 6.0 mm). An asymmetric spacer is inserted through this contact
hole, placed directly onto the nail and connected with the aiming arm.
By this re-adjustment, the direction and the plane of both distal tra
nsverse holes are defined and can be drilled. A medial spacer re-adjus
ts the aiming arm for the ap hole.