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dc.contributor.authorKwon, John Young-Yul
dc.contributor.authorJohnson, Catherine E
dc.contributor.authorAppleton, Paul Timothy
dc.contributor.authorRodriguez, Edward Kenneth
dc.date.accessioned2011-03-25T19:08:36Z
dc.date.issued2010
dc.identifier.citationKwon, John Y., Catherine E. Johnson, Paul Appleton, and Edward K. Rodriguez. 2010. Lateral femoral traction pin entry: risk to the femoral artery and other medial neurovascular structures. Journal of Orthopaedic Surgery and Research 5:4.en_US
dc.identifier.issn1749-799Xen_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:4774126
dc.description.abstractBackground: Femoral skeletal traction assists in the reduction and transient stabilization of pelvic, acetabular, hip, and femoral fractures when splinting is ineffective. Traditional teaching has recommended a medial entry site for insertion of the traction pin in order to minimize injury to the femoral artery as it passes through Hunter's canal. The present anatomical study evaluates the risk to the femoral artery and other medial neurovascular structures using a lateral entry approach. Methods: Six embalmed cadavers (twelve femurs) were obtained for dissection. Steinman pins were drilled from lateral to medial at the level of the superior pole of the patella, at 2 cm, and at 4 cm proximal to this point. Medial superficial dissection was then performed to identify the saphenous nerve, the superior medial geniculate artery, the adductor hiatus, the tendinous insertion of the adductor magnus and the femoral artery. Measurements localizing these anatomic structures relative to the pins were obtained. Results: The femoral artery was relatively safe and was no closer than 29.6 mm (mean) from any of the three Steinman pins. The superior medial geniculate artery was the medial structure at most risk.Conclusions Lateral femoral traction pin entry is a safe procedure with minimal risk to the saphenous nerve and femoral artery. Of the structures examined, only the superior medial geniculate artery is at a risk of iatrogenic injury due to its position. The incidence of such injury in clinical practice and its clinical significance is not known. Lateral insertion facilitates traction pin placement since it minimizes the need to move the contralateral extremity out of the way of the drilling equipment or the need to elevate or externally rotate the injured extremity relative to the contralateral extremity.en_US
dc.language.isoen_USen_US
dc.publisherBioMed Centralen_US
dc.relation.isversionofdoi:10.1186/1749-799X-5-4en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827386/pdf/en_US
dash.licenseLAA
dc.titleLateral Femoral Traction Pin Entry: Risk to the Femoral Artery and Other Medial Neurovascular Structuresen_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalJournal of Orthopaedic Surgery and Researchen_US
dash.depositing.authorRodriguez, Edward Kenneth
dc.date.available2011-03-25T19:08:36Z
dash.affiliation.otherHMS^Orthopedic Surgery-Mass General Hospitalen_US
dc.identifier.doi10.1186/1749-799X-5-4*
dash.contributor.affiliatedRodriguez, Edward
dash.contributor.affiliatedAppleton, Paul
dash.contributor.affiliatedKwon, John


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