Prone positioning for intramedullary nailing of subtrochanteric fractrures, the techniques of intraoperative fluoroscopy and reduction: A technique note
The treatment of subtrochanteric fractures is a challenge for orthopaedic trauma surgeons. Three positions have been described previously: supine on a fracture table, supine on a flat radiolucent table, and the lateral decubitus position on a flat radiolucent table. Each one has its advantages and l...
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| Veröffentlicht in: | Injury 2017-10, Vol.48 (10), p.2354-2359 |
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| creator | Zhao, Zhe Song, Fei Zhu, Jianjin He, Dawei Deng, Jiuzheng Ji, Xiaolin Tang, Peifu Pan, Yongwei |
| description | The treatment of subtrochanteric fractures is a challenge for orthopaedic trauma surgeons. Three positions have been described previously: supine on a fracture table, supine on a flat radiolucent table, and the lateral decubitus position on a flat radiolucent table. Each one has its advantages and limitations. In this article we describe a prone position for intramedullary nailing of subtrochanteric femoral fractures. This position has the advantages including: 1) an easy approach to reduce and maintain the reduction of fracture by adjusting only the leg plate on injured side, 2) perfect intraoperation fluoroscopic imaging on both anteroposterior view and lateral view, and 3) an easy approach to establish an appropriate entry point even in obese patients. |
| doi_str_mv | 10.1016/j.injury.2017.08.025 |
| format | Article |
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Three positions have been described previously: supine on a fracture table, supine on a flat radiolucent table, and the lateral decubitus position on a flat radiolucent table. Each one has its advantages and limitations. In this article we describe a prone position for intramedullary nailing of subtrochanteric femoral fractures. This position has the advantages including: 1) an easy approach to reduce and maintain the reduction of fracture by adjusting only the leg plate on injured side, 2) perfect intraoperation fluoroscopic imaging on both anteroposterior view and lateral view, and 3) an easy approach to establish an appropriate entry point even in obese patients.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2017.08.025</identifier><identifier>PMID: 28847589</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Aged, 80 and over ; Bone Nails ; Bone Plates ; Female ; Fluoroscopy ; Fracture Fixation, Intramedullary - instrumentation ; Fracture Fixation, Intramedullary - methods ; Hip Fractures - diagnostic imaging ; Hip Fractures - physiopathology ; Hip Fractures - surgery ; Humans ; Intramedullary nailing ; Intraoperation fluoroscopy ; Prone Position ; Reduction ; Subtrochanteric fractures ; Treatment Outcome</subject><ispartof>Injury, 2017-10, Vol.48 (10), p.2354-2359</ispartof><rights>2017</rights><rights>Copyright © 2017. 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This position has the advantages including: 1) an easy approach to reduce and maintain the reduction of fracture by adjusting only the leg plate on injured side, 2) perfect intraoperation fluoroscopic imaging on both anteroposterior view and lateral view, and 3) an easy approach to establish an appropriate entry point even in obese patients.</description><subject>Aged, 80 and over</subject><subject>Bone Nails</subject><subject>Bone Plates</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Fracture Fixation, Intramedullary - instrumentation</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Hip Fractures - physiopathology</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Intramedullary nailing</subject><subject>Intraoperation fluoroscopy</subject><subject>Prone Position</subject><subject>Reduction</subject><subject>Subtrochanteric fractures</subject><subject>Treatment Outcome</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotvCP0DIRw4kjO3EcTggVVULSJXaA5wtrzNhvcrawXYq7T_h5-J0C9w4-TDfm-c3j5A3DGoGTH7Y187vl3isObCuBlUDb5-RDVNdXwGX3XOyAeBQMaHEGTlPaQ8FBCFekjOuVNO1qt-QX_cxeKRzSC674J3_QccQqfM5mgMOyzSZeKTeuGkdhZGmZZtjsDvjM0Zn6RiNzXGJmN7TvEOa0e68-7lgWunHPWHGaLJ7QDpOS4gh2TAfqfEDjcXBrr4f6eU_JfUh4yvyYjRTwtdP7wX5fnP97epLdXv3-evV5W1lheS5MiBkK_qmxa2QODbSNEYwaYfWoEHgWDIjSqt4OUknBtZspWpED6hAtF0jLsi70945hvXXWR9cslhyewxL0qwXQoJkHAranFBbMqSIo56jO5T7aAZ67UTv9akTvXaiQenSSZG9fXJYtuWkf0V_SijApxOAJeeDw6iTdegtDi6izXoI7v8OvwEggKOz</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Zhao, Zhe</creator><creator>Song, Fei</creator><creator>Zhu, Jianjin</creator><creator>He, Dawei</creator><creator>Deng, Jiuzheng</creator><creator>Ji, Xiaolin</creator><creator>Tang, Peifu</creator><creator>Pan, Yongwei</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Prone positioning for intramedullary nailing of subtrochanteric fractrures, the techniques of intraoperative fluoroscopy and reduction: A technique note</title><author>Zhao, Zhe ; 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| fulltext | fulltext |
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| ispartof | Injury, 2017-10, Vol.48 (10), p.2354-2359 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged, 80 and over Bone Nails Bone Plates Female Fluoroscopy Fracture Fixation, Intramedullary - instrumentation Fracture Fixation, Intramedullary - methods Hip Fractures - diagnostic imaging Hip Fractures - physiopathology Hip Fractures - surgery Humans Intramedullary nailing Intraoperation fluoroscopy Prone Position Reduction Subtrochanteric fractures Treatment Outcome |
| title | Prone positioning for intramedullary nailing of subtrochanteric fractrures, the techniques of intraoperative fluoroscopy and reduction: A technique note |
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