Background
This study analyzed the imaging data of patients retrospectively to understand the risk of cannulated screw fixation for femoral neck fracture. At the same time, we try to use intraoperative frog lateral view to avoid the risk of screw cutout.
Method
The imaging data of patients with femoral neck fracture treated with cannulated screws between January 2015 and September 2016 was reviewed, and patients with screw cutout or suspicious cutout were found. The postoperative imaging data of 41 patients who attempted to use frog lateral view during the operation was reviewed,and patients with screw cutout or suspicious cutout were found.
Result
Among the 479 patients, only 72 patients underwent CT examination after the operation, and 18 of the 72 patients had obvious screw cutout. Screw cutout cases accounted for 3.8% of the total number of cases and 25% of the patients undergoing CT examination. Of the 41 patients who received intraoperative frog lateral view, only 2 cases were cutout from the neck, and no cases were cutout from the femoral head.
Conclusion
The anterior upper part of the femoral head is a high-risk area cutout by cannulated screws. Postoperative CT is very necessary and can accurately detect the screw cutout, for the long-term prognosis of the implications. The application of frog lateral view in the operation of femoral neck fracture can effectively avoid the risk of cannulated screw cutout.
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Posted 18 Mar, 2021
On 01 Apr, 2021
Received 29 Mar, 2021
On 28 Mar, 2021
Invitations sent on 27 Mar, 2021
On 14 Mar, 2021
On 17 Feb, 2021
On 21 Jan, 2021
On 20 Jan, 2021
Posted 18 Mar, 2021
On 01 Apr, 2021
Received 29 Mar, 2021
On 28 Mar, 2021
Invitations sent on 27 Mar, 2021
On 14 Mar, 2021
On 17 Feb, 2021
On 21 Jan, 2021
On 20 Jan, 2021
Background
This study analyzed the imaging data of patients retrospectively to understand the risk of cannulated screw fixation for femoral neck fracture. At the same time, we try to use intraoperative frog lateral view to avoid the risk of screw cutout.
Method
The imaging data of patients with femoral neck fracture treated with cannulated screws between January 2015 and September 2016 was reviewed, and patients with screw cutout or suspicious cutout were found. The postoperative imaging data of 41 patients who attempted to use frog lateral view during the operation was reviewed,and patients with screw cutout or suspicious cutout were found.
Result
Among the 479 patients, only 72 patients underwent CT examination after the operation, and 18 of the 72 patients had obvious screw cutout. Screw cutout cases accounted for 3.8% of the total number of cases and 25% of the patients undergoing CT examination. Of the 41 patients who received intraoperative frog lateral view, only 2 cases were cutout from the neck, and no cases were cutout from the femoral head.
Conclusion
The anterior upper part of the femoral head is a high-risk area cutout by cannulated screws. Postoperative CT is very necessary and can accurately detect the screw cutout, for the long-term prognosis of the implications. The application of frog lateral view in the operation of femoral neck fracture can effectively avoid the risk of cannulated screw cutout.
Figure 1
Figure 2
Figure 3
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