It works through a distal working channel. It is based on an aiming devise that is readjusted to the deformed nail. Recently, DAD with improved design has been developed. These devices failed initially, because a simple aiming arm couldn’t compensate for the implant deformation, due to insertion-related bending and rotational forces. Recently for distal locking, proximally mounted distal aiming devices (DAD) have received greater interest. So, radiation exposure should be minimized. However, anyone within range of six feet of the fluoroscopy beam gets exposed to substantial radiation, particularly to thyroid, bones of hands, and other exposed body parts. Each technique has its own advantages and disadvantages, but free hand technique is most common used for distal locking. Ĭomputer-assisted methods are under research. These include hand-held guides image intensifier-based devices and nail-based guides. Numerous techniques and devices have been proposed in this regard. To achieve accurate distal locking in the shortest amount of time and radiation exposure, both the surgeon and the radiographer must have prior experience. Distal locking is most commonly done free hand, under c arm guidance. Interlocking nail has advantage of proximal and distal locking. With the first design as K-nail, now a days interlocking nail is in vogue. But distal locking by DAD is user friendly just like proximal locking with decrease in locking time and radiation exposure.Ī major breakthrough in operative orthopedics, has been the introduction of intra-medullary nail for fracture shaft femur. There is a learning curve for distal locking in free hand technique. There was also decrease in drill bit/nail graze in DAD group.Ĭonclusion: Distal locking by free hand method is time taking and associated with radiation exposure. There was dramatic decrease in radiation exposure (free hand group-13.5 c-arm shots, DAD group-2 c-arm shots) and time required (free hand group-22.4 min(mean), DAD group-7.8 min (mean)) for distal locking. There were 70 patients in free hand group and 52 patients in DAD group. Results: A total of 140 patients were assessed. Comparison was done for c-arm shots and time required for distal locking. Cases under study were patient with mid-shaft femur fracture (type32a simple). Methods: It was a prospective study conducted over a period of one and a half years. Objective: The study is a comparative study between, distal locking by free hand method and distal locking by proximally mounted mechanical distal aiming device (DAD) with respect to radiation exposure and time taken. In this study authors emphasized the importance of mechanical aiming system for distal locking. Free hand method is associated with radiation exposure and time taking. For proximal locking authors have inbuilt aiming system in jig, but distal locking is done free hand. If you are using Intrepid Web scripts, simply add this to general_functions.Introduction: The success of interlocking nail is due to proximal and distal locking, giving stability to nail. If there are enough people that use 010 Editor and would like to get the SVN active again for templates and scripts, let me know. I ignored all rows that had "0" for the lootRate on the export and got rid of unused lines. You can also do some things in the script if you like. WriteInt(eofPos, string_to_int(SubStr(currentLine, 0, delIndex))) ĬurrentLine = SubStr(currentLine, delIndex 1, -1) lootrate, loottime, operationcount, totalloot WriteString(eofPos, SubStr(currentLine, 0, delIndex)) If you are using Intrepid Web scripts, simply add this to general_functions.1sc Import really isn't the best term here as you are actually creating a new file: When you are done editing, it is time to import it with this script. Once complete simply save the file as a new csv or overwrite the existing one (excel will warn you about formatting, but you don't want the formatting). you do still need to adhere to the rule of keeping all mob rows together (all loot rows for a mob must be next to each other). You can filter out groups of mobs, add new rows, filter based on items, etc. The data is then imported and you can change what you wish. To import, you need to choose "Delimited", then Comma instead of Tab, then for item looting I picked the column with the mob codes and selected "Text" instead of "General" for the formatting. For this particular file, I opened excel and imported the data from text. In some cases you can simply double click to open the file in excel, BUT you may get some formatting that you don't want. Utilizing the code above, you will have a csv file containing the contents of ItemLooting. SPrintf(temp, "%d", item.operationCount) We are simply writing the comma delimited values to a csv file I am using templates released by Intrepid Web String savePath = "C:\\PathTo\\export.csv"
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