• Arch Orthop Trauma Surg · May 2019

    Case Reports

    Intraoperative ultrasound-guided reduction of femoral shaft fractures using intramedullary nailing: a technical note.

    • Zhao Zhe, Zhu Jianjin, Song Fei, He Dawei, Deng Jiuzheng, Chen Fang, and Pan Yongwei.
    • Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168, Li Tang Road, Changping District, Beijing, 102218, China.
    • Arch Orthop Trauma Surg. 2019 May 1; 139 (5): 589-596.

    ObjectivesIntramedullary (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 ResultsBy 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.ConclusionsIntraoperative ultrasound can guide the reduction of femoral shaft fracture using IM nailing, and reduce the radiation exposure of medical staff and patients.

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