Intraoperative ultrasound-guided reduction of femoral shaft fractures using intramedullary nailing: a technical note
- 41 Downloads
Intramedullary (IM) nailing is the preferred method for treatment of femoral shaft fractures. However, for the surgical staff and the patients, exposure to large dose of X-rays is inevitable during the procedure. In this paper, a new technique based on ultrasound is proposed to guide the reduction of femoral fractures, reducing radiation exposure.
Methods and results
By means of particular continuous transverse and multiplanar longitudinal scanning, the deformity pattern information of the fracture could be efficiently acquired. Adequate reduction could be achieved under the real-time guidance of intraoperative ultrasound.
Intraoperative ultrasound can guide the reduction of femoral shaft fracture using IM nailing, and reduce the radiation exposure of medical staff and patients.
KeywordsIntraoperative ultrasound Femoral fractures Reduction Intramedullary nailing
There is no funding source.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Research involving human participants and/or animals
This article does not contain any studies with human participants or animals performed by any of the authors.
- 3.Matityahu A, Duffy RK, Goldhahn S, Joeris A, Richter PH, Gebhard F (2017) The Great Unknown—a systematic literature review about risk associated with intraoperative imaging during orthopaedic surgeries. Injury 48(8):1727–1734. https://doi.org/10.1016/j.injury.2017.04.041 CrossRefPubMedGoogle Scholar
- 12.Mueller LA, Degreif J, Schmidt R, Pfander D, Forst R, Rommens PM, Mueller LP, Rudig L (2006) Ultrasound-guided spinal fracture repositioning, ligamentotaxis, and remodeling after thoracolumbar burst fractures. Spine 31(20):E739–E746. https://doi.org/10.1097/01.brs.0000237012.83128.80 (discussion E747) CrossRefPubMedGoogle Scholar
- 14.Soejima K, Sakurai H, Nozaki M, Kitazawa Y, Takeuchi M, Yamaki T, Kono T (2009) Semi-closed reduction of tripod fractures of zygoma under intraoperative assessment using ultrasonography. J Plast Reconstr Aesthet Surg 62(4):499–505. https://doi.org/10.1016/j.bjps.2007.11.007 CrossRefPubMedGoogle Scholar
- 18.Rüedi TP, Buckley RE, Moran CG (2007) AO principles of fracture management, 2nd edn. Thieme, StuttgartGoogle Scholar
- 19.Karaman O, Ayhan E, Kesmezacar H, Seker A, Unlu MC, Aydingoz O (2014) Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on daily life. Eur J Orthop Surg Traumatol 24(7):1243–1247. https://doi.org/10.1007/s00590-013-1289-8 CrossRefPubMedGoogle Scholar
- 20.Ehrenstein T, Rikli DA, Peine R, Gutberlet M, Mittlmeier T, Banzer D, Maurer J, Felix R (1999) A new ultrasound-based method for the assessment of torsional differences following closed intramedullary nailing of femoral fractures. Skeletal Radiol 28(6):336–341. https://doi.org/10.1007/s002560050527 CrossRefPubMedGoogle Scholar
- 23.Langfitt MK, Halvorson JJ, Scott AT, Smith BP, Russell GB, Jinnah RH, Miller AN, Carroll EA (2013) Distal locking using an electromagnetic field-guided computer-based real-time system for orthopaedic trauma patients. J Orthop Trauma 27(7):367–372. https://doi.org/10.1097/BOT.0b013e31828c2ad1 CrossRefPubMedGoogle Scholar