System and method for image localization of effecters during a medical procedure

An image-guided intramedullary nail arrangement comprising:

• an intramedullary nail sized and configured to be disposed within the intramedullary canal of a long bone, said nail defining a plurality of openings therethrough, each of the plurality of openings configured to receive an elongated bone fastener therethrough when the nail is disposed within the intramedullary canals;
• drill guide having a U-shaped body defined by an elongated stem and an alignment body, wherein;
• the elongated stem is configured for coaxial engagement with the intramedullary nail with the nail in a predetermined orientation relative to the alignment body;
• and
• the alignment body defines a plurality of thru-holes arranged to be aligned with a corresponding one of the plurality of openings in the nail so that the thru-holes act as a guide for a corresponding elongated bone fastener for engagement within the corresponding one of the plurality of openings in said nail;
• and
• a tracking element removably mounted to the alignment body of the guide, the tracking element including at least one tracking marker adapted to be detected by an imaging system, whereby the position of the intramedullary nail and said plurality of openings within an intramedullary canal can be determined upon detection of the spatial position of the at least one tracking marker.