{"id":3625,"date":"2024-04-14T20:05:39","date_gmt":"2024-04-14T12:05:39","guid":{"rendered":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625"},"modified":"2024-04-15T23:33:56","modified_gmt":"2024-04-15T15:33:56","slug":"percutaneous-screw-fixation","status":"publish","type":"post","link":"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625","title":{"rendered":"Percutaneous screw fixation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3625\" class=\"elementor elementor-3625\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0d8fd37 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d8fd37\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-033884a\" data-id=\"033884a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c00a57 elementor-nav-menu--stretch elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"8c00a57\" data-element_type=\"widget\" data-settings=\"{&quot;full_width&quot;:&quot;stretch&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-8c00a57\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694\" class=\"elementor-item menu-link\">Gamma nail<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3409\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3402\" class=\"elementor-item menu-link\">Humeral Nailing<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3638\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625\" class=\"elementor-item menu-link\">Percutaneous screw fixation<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4669\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4664\" class=\"elementor-item menu-link\">Proximal Humeral Plating<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open fas fa-book\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t\t<span class=\"elementor-screen-only\">Menu<\/span>\n\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-8c00a57\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3703\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3694\" class=\"elementor-item menu-link\" tabindex=\"-1\">Gamma nail<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3409\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3402\" class=\"elementor-item menu-link\" tabindex=\"-1\">Humeral Nailing<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-3638\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=3625\" class=\"elementor-item menu-link\" tabindex=\"-1\">Percutaneous screw fixation<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-post menu-item-4669\"><a href=\"https:\/\/ndhorth.synology.me\/wordpress\/?p=4664\" class=\"elementor-item menu-link\" tabindex=\"-1\">Proximal Humeral Plating<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-917c205 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"917c205\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6377a67\" data-id=\"6377a67\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-acc34bb elementor-widget elementor-widget-heading\" data-id=\"acc34bb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Navigation assisted percutaneous screw fixation<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-33ee73d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"33ee73d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d3ba3e\" data-id=\"6d3ba3e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ca952df elementor-widget elementor-widget-shortcode\" data-id=\"ca952df\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<style>\n\t#hotspot-3621 .hotspots-image-container,\n\t#hotspot-3621 .leaflet-container {\n\t\tbackground: #efefef\t}\n\n\t#hotspot-3621 .hotspots-placeholder,\n\t.featherlight .featherlight-content.lightbox-3621 {\n\t\tbackground: #ffffff;\n\t\tborder: 0 #ffffff solid;\n\t\tcolor: #000000;\n\t}\n\n\t#hotspot-3621 .hotspot-title,\n\t#hotspot-3621 .bc-product__title a,\n\t.featherlight .featherlight-content.lightbox-3621 .hotspot-title,\n\t.featherlight .featherlight-content.lightbox-3621 .bc-product__title a {\n\t\tcolor: #000000;\n\t}\n\n\t\t\t#hotspot-3621 .hotspot-style-1 {\n\t\t\tstroke-width: 1;\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3621 .hotspot-style-1:hover,\n\t\t#hotspot-3621 .hotspot-style-1:focus,\n\t\t#hotspot-3621 .hotspot-style-1.hotspot-active {\n\t\t\tfill: #ffffff;\n\t\t\tfill-opacity: 0.81;\n\t\t\toutline: none;\n\t\t\tstroke: #ffffff;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t\t#hotspot-3621 .hotspot-default {\n\t\t\tstroke-width: 1;\n\t\t\tfill: #222222;\n\t\t\tfill-opacity: 0.01;\n\t\t\tstroke: #000000;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3621 .hotspot-default:hover,\n\t\t#hotspot-3621 .hotspot-default:focus,\n\t\t#hotspot-3621 .hotspot-default.hotspot-active {\n\t\t\tfill: #666666;\n\t\t\tfill-opacity: 0.01;\n\t\t\toutline: none;\n\t\t\tstroke: #000000;\n\t\t\tstroke-opacity: 0.01;\n\t\t}\n\t\t#hotspot-3621 .leaflet-tooltip,\n\t#hotspot-3621 .leaflet-rrose-content-wrapper {\n\t\tbackground: #ffffff;\n\t\tborder-color: #ffffff;\n\t\tcolor: #000000;\n\t}\n\n\t#hotspot-3621 a.leaflet-rrose-close-button {\n\t\tcolor: #000000;\n\t}\n\n\t#hotspot-3621 .leaflet-rrose-tip {\n\t\tbackground: #ffffff;\n\t}\n\n\t#hotspot-3621 .leaflet-popup-scrolled {\n\t\tborder-bottom-color: #000000;\n\t\tborder-top-color: #000000;\n\t}\n\n\t#hotspot-3621 .leaflet-tooltip-top:before {\n\t\tborder-top-color: #ffffff;\n\t}\n\n\t#hotspot-3621 .leaflet-tooltip-bottom:before {\n\t\tborder-bottom-color: #ffffff;\n\t}\n\t#hotspot-3621 .leaflet-tooltip-left:before {\n\t\tborder-left-color: #ffffff;\n\t}\n\t#hotspot-3621 .leaflet-tooltip-right:before {\n\t\tborder-right-color: #ffffff;\n\t}\n<\/style>\n\n\n\t<div class=\"hotspots-container  layout-lightbox event-click\" id=\"hotspot-3621\" data-layout=\"lightbox\" data-trigger=\"click\">\n\t\t<div class=\"hotspots-interaction\">\n\t\t\t<div class=\"hotspots-image-container\">\n\t<img\n\t\twidth=\"1280\"\n\t\theight=\"720\"\n\t\tsrc=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/Pelvis-fracture-1.png\"\n\t\talt=\"Pelvis fracture\"\n\t\tclass=\"hotspots-image skip-lazy\"\n\t\tusemap=\"#hotspots-image-3621\"\n\t\tdata-image-title=\"Pelvis fracture\"\n\t\tdata-image-description=\"\"\n\t\tdata-event-trigger=\"click\"\n\t\tdata-always-visible=\"on\"\n\t\tdata-id=\"3621\"\n\t\tdata-no-lazy=\"1\"\n\t\tdata-lazy-src=\"\"\n\t\tdata-lazy=\"false\"\n\t\tloading=\"eager\"\n\t\tdata-skip-lazy=\"1\"\n\t\t>\n<\/div>\t\t<\/div>\n\t\t<map name=\"hotspots-image-3621\" class=\"hotspots-map\">\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"92,272,92,221,376,221,376,272\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3621-0\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Position and Draping\"\n\t\t\t\t\talt=\"Position and Draping\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3621-0\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"109,508,109,462,380,462,380,508\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3621-1\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Procedure\"\n\t\t\t\t\talt=\"Procedure\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3621-1\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t\t\t\t\t\t\t<area\n\t\t\t\t\tshape=\"polygon\"\n\t\t\t\t\tcoords=\"871,317,871,266,1234,266,1234,317\"\n\t\t\t\t\thref=\"#hotspot-hotspot-3621-2\"\n\t\t\t\t\trel=\"\"\n\t\t\t\t\ttitle=\"Instrument and Consumable\"\n\t\t\t\t\talt=\"Instrument and Consumable\"\n\t\t\t\t\tdata-action=\"\"\n\t\t\t\t\tdata-color-scheme=\"\"\n\t\t\t\t\tdata-id=\"area-hotspot-3621-2\"\n\t\t\t\t\ttarget=\"\"\n\t\t\t\t\tclass=\"more-info-area\"\n\t\t\t\t\t>\n\t\t\t\t\t<\/map>\n\n\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3621-0\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Position and Draping<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"720\" height=\"811\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-drape.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-drape.png 720w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-drape-266x300.png 266w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3621-1\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Procedure<\/h2>\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t<p style=\"margin-top: 0pt;margin-bottom: 0pt;margin-left: .09in;text-align: left;direction: ltr\"><u><span style=\"font-size: 14.0pt;font-family: Calibri;color: black;font-weight: bold\">Procedure<\/span><\/u><\/p>\n<div>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 4.3pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">1.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/span><!--[endif]--><span style=\"font-size: 12.0pt;line-height: 107%\">Supine <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">2.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\"> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/span><span style=\"font-size: 12.0pt;line-height: 107%\">Skin Prepreation and drape<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">3.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\"> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/span><span style=\"font-size: 12.0pt;line-height: 107%\">Navigation and intra-op 3D x-ray<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">4.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 <\/span><\/span><!--[endif]--><span style=\"font-size: 12.0pt;line-height: 107%\">Guide pin inserted<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">5.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 \u00a0<\/span><\/span><!--[endif]--><span style=\"font-size: 12.0pt;line-height: 107%\">Alignment check<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">6.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 <\/span><\/span><span style=\"font-size: 12.0pt;line-height: 107%\">Cannulated screw insert <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><!-- [if !supportLists]--><span style=\"font-size: 12.0pt;line-height: 107%\">7.<span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 \u00a0<\/span><\/span><!--[endif]--><span style=\"font-size: 12.0pt;line-height: 107%\">Screw position checked with x-ray<\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin: 0cm 0cm 0.0001pt;text-indent: 0cm\" align=\"left\"><span style=\"font-size: 16px;font-style: normal;font-weight: 400\">8.<\/span><span style=\"font-style: normal;font-weight: normal;font-size: 7pt;line-height: normal\">\u00a0 \u00a0 \u00a0 <\/span><span style=\"color: #000000;font-family: Calibri, sans-serif;font-size: 16px;font-style: normal;font-weight: 400\">Closing<\/span><\/p>\n<p align=\"left\">\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t<div class=\"hotspot-info \" id=\"hotspot-hotspot-3621-2\">\n\t\t\t\t\n\t\t\t\t<h2 class=\"hotspot-title\">Instrument and Consumable<\/h2>\t\t\t\t\t\t\t\t\t<div class=\"hotspot-thumb\">\n\t\t\t\t\t\t<img decoding=\"async\" width=\"720\" height=\"730\" src=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-consumable.png\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-consumable.png 720w, https:\/\/ndhorth.synology.me\/wordpress\/wp-content\/uploads\/2024\/04\/pelvis-fracture-consumable-296x300.png 296w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"hotspot-content\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c20f788 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c20f788\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-06b1b09\" data-id=\"06b1b09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5420a42 elementor-view-stacked elementor-shape-circle elementor-widget elementor-widget-icon\" data-id=\"5420a42\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/ndhorth.synology.me\/wordpress\/?page_id=903\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-redo\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Navigation assisted percutaneous screw 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