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BMC Musculoskeletal Disorders

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Open Access 01-12-2005 | Technical advance

A sonography assisted technique for the removal of a femoral interlocking nail – a technical note

Authors: Kai-Jow Tsai, Po-Wen Shen, William C Hutton

Published in: BMC Musculoskeletal Disorders | Issue 1/2005

Abstract

Background

Open methods for removal of femoral interlocking nails involve an incision (up to 10 cm) over the trochanter to find the tip of the nail. The distal locking screws are some times difficult to palpate and an incision (up to about 5 cm) is often needed for exposure. Intra-operative fluoroscopy is often used as an adjunct technique to minimize the surgical wound. However, patients and surgeons are exposed to a radiation hazard. Sonography can provide a real-time and efficient alternative to fluoroscopy.

Methods

Sonography of soft tissue has been established to identify a foreign body. A metallic implant has a hyperechoic image; therefore, we can identify the correct position of the screws preoperatively and intraoperatively.

Results

We have developed a technique using sonography and minimal incisions for the removal of a femoral interlocking nail. The proximal wound is 2.5 cm in length and the wound is 0.5 cm in length for each distal locking screw.

Conclusion

The sonography can be used to minimize the length of incision and prevent radiation exposure in the removal of intramedullary femoral nails.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/6/51/prepub

Title: A sonography assisted technique for the removal of a femoral interlocking nail – a technical note
Authors: Kai-Jow Tsai
Po-Wen Shen
William C Hutton
Publication date: 01-12-2005
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2005
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/1471-2474-6-51

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A sonography assisted technique for the removal of a femoral interlocking nail – a technical note

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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