Cargando…

Periarticular screws: what’s in and what’s out of the joint?

Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue harm to the joint. In recent years, many surgeons have turned to computed tomography (CT) and other intraoperative or postoperative mo...

Descripción completa

Detalles Bibliográficos
Autores principales: Sridhar, Michael S., Hunter, Michael D., Colello, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8734277/
https://www.ncbi.nlm.nih.gov/pubmed/34991568
http://dx.doi.org/10.1186/s12891-021-04928-9
_version_ 1784627983551561728
author Sridhar, Michael S.
Hunter, Michael D.
Colello, Michael J.
author_facet Sridhar, Michael S.
Hunter, Michael D.
Colello, Michael J.
author_sort Sridhar, Michael S.
collection PubMed
description Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue harm to the joint. In recent years, many surgeons have turned to computed tomography (CT) and other intraoperative or postoperative modalities to determine whether hardware is truly extraarticular in areas of complex anatomy. Yet, these adjuncts are expensive, time consuming, and often unnecessary given the advancement in understanding of intraoperative fluoroscopy. We present a review article with the goal of empowering surgeons to leave the operating room, with fluoroscopy alone, assured that all hardware is beneath the articular surface that is being worked on. By understanding a simple concept, surgeons can extrapolate the information in this article to any joint and bony surface in the body. While targeted at both residents and surgeons who may not have completed a trauma fellowship, this review can benefit all orthopaedic surgeons alike.
format Online
Article
Text
id pubmed-8734277
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-87342772022-01-07 Periarticular screws: what’s in and what’s out of the joint? Sridhar, Michael S. Hunter, Michael D. Colello, Michael J. BMC Musculoskelet Disord Review Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue harm to the joint. In recent years, many surgeons have turned to computed tomography (CT) and other intraoperative or postoperative modalities to determine whether hardware is truly extraarticular in areas of complex anatomy. Yet, these adjuncts are expensive, time consuming, and often unnecessary given the advancement in understanding of intraoperative fluoroscopy. We present a review article with the goal of empowering surgeons to leave the operating room, with fluoroscopy alone, assured that all hardware is beneath the articular surface that is being worked on. By understanding a simple concept, surgeons can extrapolate the information in this article to any joint and bony surface in the body. While targeted at both residents and surgeons who may not have completed a trauma fellowship, this review can benefit all orthopaedic surgeons alike. BioMed Central 2022-01-06 /pmc/articles/PMC8734277/ /pubmed/34991568 http://dx.doi.org/10.1186/s12891-021-04928-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Sridhar, Michael S.
Hunter, Michael D.
Colello, Michael J.
Periarticular screws: what’s in and what’s out of the joint?
title Periarticular screws: what’s in and what’s out of the joint?
title_full Periarticular screws: what’s in and what’s out of the joint?
title_fullStr Periarticular screws: what’s in and what’s out of the joint?
title_full_unstemmed Periarticular screws: what’s in and what’s out of the joint?
title_short Periarticular screws: what’s in and what’s out of the joint?
title_sort periarticular screws: what’s in and what’s out of the joint?
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8734277/
https://www.ncbi.nlm.nih.gov/pubmed/34991568
http://dx.doi.org/10.1186/s12891-021-04928-9
work_keys_str_mv AT sridharmichaels periarticularscrewswhatsinandwhatsoutofthejoint
AT huntermichaeld periarticularscrewswhatsinandwhatsoutofthejoint
AT colellomichaelj periarticularscrewswhatsinandwhatsoutofthejoint