Introduction: Mid-bone fractures of long bones are typically repaired using intramedullary nails (IMN). The implant is locked into place with locking screws drilled through the bone and implant at both the proximal and distal ends. Inserting the nail often leads to unpredictable deformation of the implant, making it difficult to identify the position of the distal locking holes. The conventional fluoroscopic navigation technique for distal locking is not time efficient and exposes the surgical team to a significant amount of radiation - distal locking accounts for over 23% of the total surgical time and up to 53% of the fluoroscopic screening time [1]. The accumulation of radiation exposure over the course of an orthopaedic surgeon's career is a rising concern and has received significant attention in the literature of late.
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