![]() ![]() In some hospitals, they have been successful. In a growing number of medical centers across the country, orthopedists are pressing their hospital administrations for the right to bill for film interpretation and to cut the radiologists out of the loop completely. This tendency for radiologists to tap dance their way through orthopedic dictations has not gone unnoticed by the orthopedists. If you are going to bill for the dictation, you should say something intelligent about the film and add some value to the examination. I think that this kind of dictation is a real disservice to the patient, especially if you are charging for it. doi:10.1016/j.otsr.2013.06.For some reason, many radiologists freak out when they are faced with reading out films with orthopedic hardware, and will mumble something vague along the lines of “Orthopedic hardware is seen and surgical changes are noted….”, for fear that they will say something dumb and the orthopedists will laugh at them. Orthopaedics & Traumatology: Surgery & Research. Distal Targeting Device for Long Gamma Nail®. Proximal Femoral Nails Antirotation, Gamma Nails, and Dynamic Hip Screws for Fixation of Intertrochanteric Fractures of Femur: A Meta-Analysis. ![]() ![]() Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases. Schupfner R, Käsmann L, Wagner W, Schulz A. Gamma Nail in the Treatment of Closed Trochanteric Fractures. penetration of the femoral neck lag screw through the femoral head The radiological report should include a description of the following features: The femoral neck lag screw should be positioned at least 1 mm from the joint space. The position of the femoral neck lag screw should be ideally in an inferior position from the AP view and a centered position from the lateral view 1,2. Nail position, fragment position and fracture healing can be assessed with an anteroposterior view and a lateral view of the hip. General complications associated with proximal femoral surgery: distal locking either using the attached jig 5 or via perfect circles techniqueĬomplications of gamma nail fixation include the following 1,2:.insertion and advancement and fixation of the femoral neck lag screw.reaming of the femoral medullary canal from the insertion point at the top of the greater trochanter and then a determination of the diameter of the nail (if a long nail is used).determination of nail length (180mm for short Gamma nails for long nails, this is determined by measurement of the long guidewire), and angle and anteversion of lag screw insertion.the entry point is identified under fluoroscopy and an entry guide-wire or awl is inserted. ![]() a lateral approach to the proximal femur is usually used.exact anatomic closed reduction on the traction table.The surgical technique comprises several main steps including the following 1,2: ContraindicationsĬontraindications of gamma nail fixation include medial femoral neck and of course femoral head fractures. Other indications include impending pathological fractures, tumor resections and revision procedures. The main indication is the treatment of pertrochanteric, intertrochanteric and subtrochanteric fractures fracture type AO/OTA 31-A1 31-A2 and 31-A3 3. ![]()
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