What imaging should be obtained and reviewed in the perioperative management of a femoral shaft fracture to reduce the chance of missed femoral neck fractures?
1. Obtain preop hip xrays2. If CT obtained for abdo/pelvic injuries – review for hip fracture3. Obtain intraop fluoro before nailing.4. Obtain intraop fluoro after nailing with the hip in 10-15 deg of IR5. Obtain postop hip radiographs prior to leaving the OR #Orthopedic#Implants#Spinal#Knee#Hip#BoneHealing#FractureTreatment#Trauma#SurgicalStaplers#PowerTools#SpineHealth#OrthopedicResearch#MedicalInnovation
How to evaluate and treat suspected limb vascular injuries in orthopedic emergency patients?
The most common limb trauma in orthopedic emergencies has the possibility of potential vascular injury, such as knee joint injury is prone to damage the popliteal artery, forearm injury is prone to damage the ulnar artery, etc. Studies have shown that 1.6% of adult limb trauma is combined with vascular injury. If vascular injury is […]
What are methods for assessing restoration of rotation in diaphyseal femur fracture nailing?
1. Assess the LT profile in comparison to the contralateral side– Take a perfect lateral of the knee or an AP with the #patella centered over the distal femur then take an AP of the #hip– the amount of visualized LT should be equal side to side post #femoral nailing2. Key in fracture #fragments3. Match […]
What is a ‘Bosworth fracture-dislocation”?
Fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibula fragment which becomes entrapped behind the posterior tibial tubercle
