“Turning The Tables”: A Technical Tip to Overcome Anatomic Constraints While Distal Locking During Femur Intramedullary Nailing

IF 0.2 Q4 ORTHOPEDICS
S. Mittal, Tanya Trikha, A. Karpe, Pulak Vatsya, V. Trikha
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引用次数: 0

Abstract

Introduction: Interlocking nailing for femoral shaft fractures is one of the most common surgeries by orthopedic traumatologists. With the advent of cephalon-medullary nailing, a center-center position of the head screw has become mandatory. With retroversion or reduced anteversion of neck, a center placement needs internal rotation of the nail. This makes distal locking problematic, as now making a perfect circle is difficult due to the physical constraints of C-arm rotation. Objective: To describe a novel technique to overcome the anatomic constraints and get a perfect circle for quick distal locking. Material and Methods: We used a novel technique in our routine femur nailing cases. Here, in cases with reduced anteversion of the neck, distal locking was tenuous due to difficulty in making a perfect circle. Thus, we have used a new technique called “Turning the table” where we externally rotate the table, which allows us to get a perfect circle for locking in almost a single exposure. Results: This is a useful technique in cases where getting a perfect circle is difficult due to anatomic constraints and variations and can help in getting a perfect circle with limited radiation exposure.
“扭转局面”:在股骨髓内钉期间远端锁定时克服解剖限制的技术技巧
介绍:股骨干骨折的联锁内钉是骨科创伤医师最常用的手术之一。随着头髓内钉的出现,螺钉的中心位置已成为强制性的。颈部后倾或前倾减小,中心位置需要内旋钉。这使得远端锁定成为问题,因为现在由于c臂旋转的物理限制,很难形成一个完美的圆圈。目的:介绍一种克服解剖限制,获得完美圆快速远端锁定的新技术。材料和方法:我们在常规的股骨内钉病例中使用了一种新的技术。在颈部前倾降低的病例中,由于难以形成一个完美的圆圈,远端锁定是脆弱的。因此,我们使用了一种叫做“旋转桌子”的新技术,我们从外部旋转桌子,这使我们能够获得一个完美的圆圈来锁定几乎一次曝光。结果:这是一个有用的技术,以获得一个完美的圆是困难的情况下,由于解剖限制和变化,可以帮助获得一个完美的圆,在有限的辐射暴露。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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