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Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique

Cannulated screw fixation is widely used in the treatment of femoral neck fractures. During surgery, we often face the situation that a guide wire needs to be adjusted because of poor positioning in the femoral neck. It is difficult to adjust the direction of the guide wire in the neck of the femur...

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Autores principales: Chen, Yu‐feng, Ren, Dong, Yao, Shuang‐quan, Geng, Lin‐dan, Su, Yun‐shan, Kang, Bo‐yang, Wang, Peng‐cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654675/
https://www.ncbi.nlm.nih.gov/pubmed/34668325
http://dx.doi.org/10.1111/os.12994
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author Chen, Yu‐feng
Ren, Dong
Yao, Shuang‐quan
Geng, Lin‐dan
Su, Yun‐shan
Kang, Bo‐yang
Wang, Peng‐cheng
author_facet Chen, Yu‐feng
Ren, Dong
Yao, Shuang‐quan
Geng, Lin‐dan
Su, Yun‐shan
Kang, Bo‐yang
Wang, Peng‐cheng
author_sort Chen, Yu‐feng
collection PubMed
description Cannulated screw fixation is widely used in the treatment of femoral neck fractures. During surgery, we often face the situation that a guide wire needs to be adjusted because of poor positioning in the femoral neck. It is difficult to adjust the direction of the guide wire in the neck of the femur due to its elasticity. This study developed a practical technique to adjust the guide wire to the correct position. When the direction of insertion of the guide wire has deviated, first, measure the length of the guide wire. Second, select the appropriate cannulated screw based on the measurement, and screw the cannulated screw in along the direction of the guide wire to Ward's triangle. Then return the guide wire to the front of the cannulated screw. At this time, the cannulated screw can be used as a built‐in guide, and a screwdriver can be used to fine‐tune the position of the screw to the optimal direction under the X‐ray guidance. Finally, the cannulated screw is screwed in in this direction until it passes through the Ward triangle area, and the guide wire is inserted. This technique can help doctors insert a guide wire more quickly and accurately, reducing intraoperative injury and the operation time.
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spelling pubmed-86546752021-12-20 Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique Chen, Yu‐feng Ren, Dong Yao, Shuang‐quan Geng, Lin‐dan Su, Yun‐shan Kang, Bo‐yang Wang, Peng‐cheng Orthop Surg Video of Orthopaedic Technique Cannulated screw fixation is widely used in the treatment of femoral neck fractures. During surgery, we often face the situation that a guide wire needs to be adjusted because of poor positioning in the femoral neck. It is difficult to adjust the direction of the guide wire in the neck of the femur due to its elasticity. This study developed a practical technique to adjust the guide wire to the correct position. When the direction of insertion of the guide wire has deviated, first, measure the length of the guide wire. Second, select the appropriate cannulated screw based on the measurement, and screw the cannulated screw in along the direction of the guide wire to Ward's triangle. Then return the guide wire to the front of the cannulated screw. At this time, the cannulated screw can be used as a built‐in guide, and a screwdriver can be used to fine‐tune the position of the screw to the optimal direction under the X‐ray guidance. Finally, the cannulated screw is screwed in in this direction until it passes through the Ward triangle area, and the guide wire is inserted. This technique can help doctors insert a guide wire more quickly and accurately, reducing intraoperative injury and the operation time. John Wiley & Sons Australia, Ltd 2021-10-19 /pmc/articles/PMC8654675/ /pubmed/34668325 http://dx.doi.org/10.1111/os.12994 Text en © 2021 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Video of Orthopaedic Technique
Chen, Yu‐feng
Ren, Dong
Yao, Shuang‐quan
Geng, Lin‐dan
Su, Yun‐shan
Kang, Bo‐yang
Wang, Peng‐cheng
Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title_full Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title_fullStr Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title_full_unstemmed Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title_short Accurate Placement of Cannulated Screws in Femoral Neck Fractures: Screw and Guide Wire Combined Technique
title_sort accurate placement of cannulated screws in femoral neck fractures: screw and guide wire combined technique
topic Video of Orthopaedic Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654675/
https://www.ncbi.nlm.nih.gov/pubmed/34668325
http://dx.doi.org/10.1111/os.12994
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