Descriptions of Clinical and Surgical Procedures
Carbon Fiber Implant for Fixation of a Pathologic Subtrochanteric Fracture
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Massachusetts General Hospital
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- Title
- Animation
- 1. Introduction
- 2. Open Bone Lesion Biopsy of the Right Proximal Femur Through Lateral Subvastus Approach
- 3. Second Incision for Insertion of Nail into the Proximal Femur
- 4. Provisional Reduction with Schanz Pins Under Fluoroscopy
- 5. Placement of Starting Wire in Proximal Fragment
- 6. Opening Reamer over Starting Wire
- 7. Reduction with Finger Reduction Tool
- 8. Ball-Tip Guidewire Insertion
- 9. Measurement for the Length of the Nail
- 10. Sequential Reaming over Ball-Tip Guidewire
- 11. Exchanging the Ball-Tip Guidewire for a Smooth Wire that Fits Through the Carbon Fiber Implant
- 12. Carbon Fiber Implant Placement over Smooth Wire
- 13. Guidewire Insertion for the Femoral Neck Screw Trajectory Using the Aiming Arm and the Triple Trocar
- 14. Measurement for the Length of the Femoral Neck Screw
- 15. Triple Reamer and Femoral Neck Screw over Guidewire
- 16. Setting Screw Proximally on the Nail
- 17. Confirming Position on AP and Lateral Views of the Hip and Knee
- 18. Blocking Screws for Distal Nail
- 19. Final Confirmation of Positioning on AP and Lateral Views
- 20. Copious Irrigation
- 21. Hemostasis and Closure
- 22. Post-op Remarks
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Massachusetts General Hospital
Article Information
| Publication Date | ||
|---|---|---|
| Article ID | 443 | |
| Production ID | 0443 | |
| Volume | 2024 | |
| Issue | 443 | |
| DOI | ||
| https://doi.org/10.24296/jomi/443 | ||