{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:55:22Z","timestamp":1787237722400,"version":"build-2736575974"},"reference-count":23,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"published-print":{"date-parts":[[2021,4]]},"DOI":"10.1016\/j.otsr.2021.102831","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T11:42:07Z","timestamp":1611920527000},"page":"102831","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Free-hand distal locking of intramedullary nails: How to quickly achieve perfect circles without specific instrumentation"],"prefix":"10.1016","volume":"107","author":[{"given":"Thibaud","family":"Rodriguez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Laborde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Kh\u00e9dira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Ledoux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamel","family":"Hamitouche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2021.102831_bib0120","series-title":"Clinical epidemiology of orthopedic trauma","first-page":"10","author":"Zhang","year":"2012"},{"key":"10.1016\/j.otsr.2021.102831_bib0125","doi-asserted-by":"crossref","first-page":"761","DOI":"10.2106\/00004623-198769050-00019","article-title":"Radiation exposure to the surgeon during closed interlocking intramedullary nailing","volume":"69","author":"Levin","year":"1987","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2021.102831_bib0130","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/0020-1383(88)90107-6","article-title":"Radiation dosage during ao locking femoral nailing","volume":"19","author":"Sugarman","year":"1988","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0135","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.otsr.2013.06.006","article-title":"Distal targeting device for long gamma nail(\u00ae). Monocentric observational study","volume":"99","author":"Ehlinger","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.102831_bib0140","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.otsr.2011.08.010","article-title":"Distal locking of femoral nails. Mathematical analysis of the appropriate targeting range","volume":"98","author":"Moor","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.102831_bib0145","doi-asserted-by":"crossref","first-page":"e2110","DOI":"10.1002\/rcs.2110","article-title":"Implementation and performance evaluation of a drilling assistive device for distal locking of intramedullary nails","author":"Hsu","year":"2020","journal-title":"Int J Med Robot"},{"key":"10.1016\/j.otsr.2021.102831_bib0150","doi-asserted-by":"crossref","first-page":"e7450","DOI":"10.1097\/MD.0000000000007450","article-title":"Comparison of free-hand fluoroscopic guidance and electromagnetic navigation in distal locking of femoral intramedullary nails","volume":"96","author":"Han","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.otsr.2021.102831_bib0155","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1016\/j.injury.2012.12.009","article-title":"The comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implants","volume":"44","author":"Uruc","year":"2013","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0160","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1097\/BOT.0b013e318242d8b7","article-title":"Distal locking of femoral nails: evaluation of a new radiation-independent targeting system","volume":"26","author":"Arlettaz","year":"2012","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2021.102831_bib0165","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1007\/s00264-016-3230-3","article-title":"Meta-analysis suggests that the electromagnetic technique is better than the free-hand method for the distal locking during intramedullary nailing procedures","volume":"41","author":"Zhu","year":"2017","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2021.102831_bib0170","doi-asserted-by":"crossref","first-page":"SD21","DOI":"10.1016\/S0020-1383(01)00115-2","article-title":"Tibial intramedullary nail distal interlocking screw placement: comparison of the free-hand versus distally-based targeting device techniques","volume":"32","author":"Gugala","year":"2001","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0175","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s12306-016-0436-x","article-title":"Fluoroscopic freehand and electromagnetic-guided targeting system for distal locking screws of humeral intramedullary nail","volume":"101","author":"Persiani","year":"2017","journal-title":"Musculoskelet Surg"},{"key":"10.1016\/j.otsr.2021.102831_bib0180","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1007\/s00402-019-03238-z","article-title":"Comparison of intraoperative radiation exposure with and without use of distal targeting device: A randomized control study","volume":"139","author":"Yoo","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.otsr.2021.102831_bib0185","first-page":"280","article-title":"Is electromagnetic guidance system superior to a free-hand technique for distal locking in intramedullary nailing of tibial fractures?. A prospective comparative study","volume":"26","author":"Aslan","year":"2020","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"10.1016\/j.otsr.2021.102831_bib0190","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.injury.2013.09.023","article-title":"Insertion of distal locking screws of tibial intramedullary nails: a comparison between the free-hand technique and the sureshot distal targeting system","volume":"45","author":"Moreschini","year":"2014","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0195","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1007\/s00264-008-0579-y","article-title":"Nail over nail technique for distal locking of femoral intramedullary nails","volume":"33","author":"Rohilla","year":"2009","journal-title":"Int Orthop"},{"key":"10.1016\/j.otsr.2021.102831_bib0200","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.injury.2007.06.006","article-title":"Targeting device for intramedullary nails: a new high-stable mechanical guide","volume":"39","author":"Arlettaz","year":"2008","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0205","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/S0020-1383(01)00021-3","article-title":"A new distal targeting device for closed interlocking nailing","volume":"32","author":"Tyropoulos","year":"2001","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0210","first-page":"615","article-title":"Exposure of the thyroid to radiation during routine orthopaedic procedures","volume":"72","author":"Devalia","year":"2006","journal-title":"Acta Orthop Belg"},{"key":"10.1016\/j.otsr.2021.102831_bib0215","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/S0020-1383(98)00088-6","article-title":"Radiation exposure to the hands and the thyroid of the surgeon during intramedullary nailing","volume":"29","author":"Muller","year":"1998","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2021.102831_bib0220","doi-asserted-by":"crossref","first-page":"1698","DOI":"10.2106\/00004623-200309000-00007","article-title":"Occupational exposure from common fluoroscopic projections used in orthopaedic surgery","volume":"85","author":"Theocharopoulos","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.otsr.2021.102831_bib0225","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.otsr.2019.04.014","article-title":"Insafelock humeral nail provides a safe application for proximal and distal locking screws with distal endopin\u2013an anatomical study","volume":"105","author":"Tasci","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2021.102831_bib0230","article-title":"Dia-metaphyseal fractures of the distal tibia treated with intramedullary nails distally locked with an innovative locking system: a retrospective clinical study","author":"Saglam","year":"2020","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056821000438?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056821000438?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:43:50Z","timestamp":1761795830000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056821000438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["S1877056821000438"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2021.102831","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Free-hand distal locking of intramedullary nails: How to quickly achieve perfect circles without specific instrumentation","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2021.102831","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}],"article-number":"102831"}}