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Introduction: We aimed to evaluate the efficacy of the use of the electromagnetic distal targeting system in treating humeral shaft fracture. Methods: Patients were divided in: Group 1) patients that received a distal locking screw placement following the free-hand technique; Group 2) patients in which the distal locking screw was performed using the SURESHOT device. Results: No differences were noted comparing Group 1 (freehand) [71,9 range 40-135 min] to Group 2 (SURESHOT)[ 70, range 25-125 min]. Conclusion: The use of the EM distal targeting system doesn't reduce the overall operative time of the humeral shaft fracture fixation using IMN. [ABSTRACT FROM AUTHOR] more...