The safety and accuracy of the fluoroscopic imaging during Proximal femoral fixation: A Computerized 3D Reappraisal of the Joint Penetration Risk

Cut out of the femoral head screw, and joint penetration are two catastrophic complications in proximal femoral fracture fixation. Insufficient penetration of the screw into the femoral head will decrease its stability resulting in fixation failure1,2. On the other hand, the insertion of the screw too close to the joint line will increase the risk of screw migration and joint penetration3. In the literature, cut out is reported as one of the most common mechanical failure modes with a complication risk as high as 12% for intertrochanteric fracture fixation15.
Source: Injury - Category: Orthopaedics Authors: Source Type: research
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