Abstract
Use of a hybrid type of Ilizarov ring fixator is popular in complex orthopaedic trauma, typically comprising Schanz screws at each ring and tensioned wires. The Schanz screws are cut to the size of the ring but their cut ends may subsequently injure the other leg or damage garments and bed sheets. Custom made protective caps are available but a good alternative is a 22/24Fr Foley catheter, cut and rolled over the sharp ends of screws (Fig 1). These are readily available in theatres and provide remarkable protection even when direct pressure is applied over the cut screw ends. Figure 1 Foley catheter cut and rolled over the sharp ends of Schanz screws on an Ilizarov ring fixator
Highlights
Distal locking of long intramedullary humeral nails is achieved using a freehand technique
Both anterior-posterior and lateral-medial locking techniques have been linked to neurovascular complications including radial and lateral cutaneous nerve injuries.[1,2,3,4,5]
Summary
Distal locking of long intramedullary humeral nails is achieved using a freehand technique.
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More From: Annals of The Royal College of Surgeons of England
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