Department of Orthopaedics Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, People's Republic of China.
Department of Orthopaedics Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, People's Republic of China..
Ultrasound Med Biol. 2020 Nov;46(11):3154-3161. doi: 10.1016/j.ultrasmedbio.2020.07.026. Epub 2020 Aug 27.
Elastic stable intra-medullary nail procedures have been used to treat femoral fractures in children for some time. Radiation exposure generated by intra-operative radioscopy may induce side effects in children and staff. This study introduces a method of ultrasound-assisted reduction and fixation of femoral fractures in children to decrease radiation exposure. We included 21 children and evaluated displacement of fractures using multi-section scanning. All fracture reductions were performed with ultrasonography. A hyperechoic point with a posterior acoustic shadow can be seen under the proximal and distal segments after the nail passes through the fracture site. Comparison with radioscopy suggests that this is a viable method of reduction and fixation of femoral shaft fractures in children, and can effectively decrease radiation exposure.
弹性髓内钉手术已被用于治疗儿童股骨干骨折一段时间了。术中透视产生的辐射可能会对儿童和医护人员产生副作用。本研究介绍了一种超声辅助复位和固定儿童股骨干骨折的方法，以减少辐射暴露。我们纳入了 21 名儿童，并使用多平面扫描评估骨折移位。所有骨折复位均采用超声进行。当髓内钉穿过骨折部位后，在近段和远段可看到一个后声影的高回声点。与透视相比，这是一种可行的儿童股骨干骨折复位和固定方法，可有效减少辐射暴露。
