G M Cheema, M Tariq, T M Cheema, Naseer M Akhtar, S N R Zaidi, Perwaiz Iqbal, K K Ahmed, Arshad Manzoor, Shakeel Ghori, M A Jawaid Siddiqui.
Experience of Ultasound guided closed Tibial nailing at Mayo Hospital, Lahore.
Biomedica Jan ;12(1):30-4.

We did a clinical trial of closed unlocked nailing for tibial shaft fractures using; ultrasound instead of image intensifier. Per operative radiographs were taken to confirm that the guide wire had been passed into the medullary canal of both proximal and distal fragments. The method succeeded in seven tibia of six patients and failed in one tibia(fractures were bilateral in two patients) Although the number of cases is small, however our experience so far shows that this method can be mastered easily & can be used confidently where image intensifier is not available especially at district hospitals.

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