Application of the “3-2-1” body surface localization method in intertrochanteric femoral fractures: a technical note

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2024-08-29 DOI:10.3389/fsurg.2024.1394575

Xiaowei Wu, Yanbin Lin, Yangkai Xu, Linglan Yan, Shaochen Tu

引用次数: 0

Abstract

In femoral intertrochanteric fractures, poor incision positioning may result in inaccurate intramedullary nail placement direction, which increases the difficulty of reduction and thus the size and number of incisions. Repeated intraoperative fluoroscopy not only increases the radiation exposure of the surgeon but also affects the operative outcomes. This technical note proposes a method of identifying incision positioning preoperatively using the “3-2-1” body surface localization method. This auxiliary positioning technique uses a body surface locator and the lower limb force axis. It can predict the incisions for the needle insertion point, spiral blade, and locking nails, create minimally invasive incisions, avoid incorrect incision position, facilitate accurate intraoperative intramedullary nail placement, reduce the incision size, intraoperative bleeding, and radiation exposure, and improve surgical efficiency and reduction quality.

查看原文本刊更多论文

股骨转子间骨折中 "3-2-1 "体表定位法的应用：技术说明

在股骨转子间骨折中，切口定位不当可能导致髓内钉置入方向不准确，从而增加复位难度，进而增加切口的大小和数量。术中反复透视不仅会增加外科医生的辐射暴露，还会影响手术效果。本技术说明提出了一种使用 "3-2-1 "体表定位法在术前确定切口定位的方法。这种辅助定位技术使用体表定位器和下肢力轴。它可以预测进针点、螺旋刀片和锁定钉的切口，创建微创切口，避免切口位置错误，便于术中准确放置髓内钉，减少切口大小、术中出血和辐射暴露，提高手术效率和还原质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.