Archives of Orthopaedic and Trauma Surgery

, Volume 139, Issue 5, pp 589–596 | Cite as

Intraoperative ultrasound-guided reduction of femoral shaft fractures using intramedullary nailing: a technical note

  • Zhao Zhe
  • Zhu Jianjin
  • Song Fei
  • He Dawei
  • Deng Jiuzheng
  • Chen Fang
  • Pan YongweiEmail author
Orthopaedic Surgery



Intramedullary (IM) nailing is the preferred method for treatment of femoral shaft fractures. However, for the surgical staff and the patients, exposure to large dose of X-rays is inevitable during the procedure. In this paper, a new technique based on ultrasound is proposed to guide the reduction of femoral fractures, reducing radiation exposure.

Methods and results

By means of particular continuous transverse and multiplanar longitudinal scanning, the deformity pattern information of the fracture could be efficiently acquired. Adequate reduction could be achieved under the real-time guidance of intraoperative ultrasound.


Intraoperative ultrasound can guide the reduction of femoral shaft fracture using IM nailing, and reduce the radiation exposure of medical staff and patients.


Intraoperative ultrasound Femoral fractures Reduction Intramedullary nailing 



There is no funding source.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

402_2018_3085_MOESM1_ESM.avi (547 kb)
Supplementary material 1 (AVI 547 KB)
402_2018_3085_MOESM2_ESM.avi (1.3 mb)
Supplementary material 2 (AVI 1358 KB)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Zhao Zhe
    • 1
  • Zhu Jianjin
    • 1
  • Song Fei
    • 1
  • He Dawei
    • 1
  • Deng Jiuzheng
    • 1
  • Chen Fang
    • 2
  • Pan Yongwei
    • 1
    Email author
  1. 1.Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical MedicineTsinghua UniversityBeijingChina
  2. 2.Department of Computer Science and EngineeringNanjing University of Aeronautics and AstronauticsNanjingChina

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