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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2021
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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. |
format | Online Article Text |
id | pubmed-8654675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
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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