1. Intraoperative Frog Lateral View, An Effective and Easy Way to Avoid Screw Cutout for Femoral Neck Fractures Fixed with Multiple Cancellous Screws
- Author
-
Xin Dong, Bao Wang, Tao Zhang, Hongnian Wang, and Yongdong Li
- Subjects
musculoskeletal diseases ,Orthodontics ,business.industry ,Medicine ,equipment and supplies ,business ,Femoral Neck Fractures ,Frog lateral - Abstract
BackgroundThis study analyzed the imaging data of patients retrospectively to understand the risk of cannulated screw fixation for femoral neck fracture. At the same time, we try to use intraoperative frog lateral view to avoid the risk of screw cutout.MethodThe imaging data of patients with femoral neck fracture treated with cannulated screws between January 2015 and September 2016 was reviewed, and patients with screw cutout or suspicious cutout were found. The postoperative imaging data of 41 patients who attempted to use frog lateral view during the operation was reviewed,and patients with screw cutout or suspicious cutout were found.ResultAmong the 479 patients, only 72 patients underwent CT examination after the operation, and 18 of the 72 patients had obvious screw cutout. Screw cutout cases accounted for 3.8% of the total number of cases and 25% of the patients undergoing CT examination. Of the 41 patients who received intraoperative frog lateral view, only 2 cases were cutout from the neck, and no cases were cutout from the femoral head.ConclusionThe anterior upper part of the femoral head is a high-risk area cutout by cannulated screws. Postoperative CT is very necessary and can accurately detect the screw cutout, for the long-term prognosis of the implications. The application of frog lateral view in the operation of femoral neck fracture can effectively avoid the risk of cannulated screw cutout.
- Published
- 2021
- Full Text
- View/download PDF