Evidence map›Paper›PMID 40303549›Full record

ArticleFrontiers in pediatrics2025

The application of ultrasound-guided cannulated screw removal after proximal tibial fracture surgery: a retrospective study.

Kai Gu, Jiaqiang Qin, Meizhen Guo, Ruiliang Chu, Jiaxu Chen, Fusheng Qian, Yi Zhong

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kai GuDepartment of Orthopedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jiaqiang QinDepartment of Orthopedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Meizhen GuoDepartment of Orthopedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Ruiliang ChuDepartment of Orthopedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jiaxu ChenBig Data Engineering Center (Medical Records Management Center), Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Fusheng QianDepartment of Orthopedics, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yi ZhongDepartment of Ultrasonography, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cannulated screws are widely used in pediatric orthopedic fixation. However, traditional screw removal requires preoperative x-ray positioning, leading to exposure to ionizing radiation. Sometimes, a larger incision is required, and trauma is a significant cause of x-ray positioning, which cannot be accurately marked on the skin. In this study, we aimed to evaluate the practicability of rapid removal of cannulated screws through a guide needle and small incision using ultrasound (US) guidance to locate the position of the screws accurately. Methods: A retrospective analysis was performed on patients who underwent removal of internal fixation after proximal tibial fracture surgery at our hospital between January 2019 and March 2024. Patients were divided into Group A and Group B based on the different cannulated screw removal techniques. In Group A, the cannulated screws were removed under US guidance, while in Group B, they were removed under direct visualization using a traditional incision. The operative time, blood loss, success rate of removal, radiation frequency, and incision length were statistically analyzed. Knee function was evaluated using the Knee Society Score. Results: 53 patients aged 15.3 ± 0.1 years were included in this study. Group A showed 50% shorter incision length (1.5 vs. 3.0 cm, Discussion: US-guided cannulated screw removal can be used in children with proximal tibial fractures, significantly reducing the preoperative radiation time and dose while minimizing the incisional length. Level of evidence: III.

Indexed as

bone screwscannulated bone screwchildminimally invasive surgeryultrasound

Identifiers

PMID40303549
PMCPMC12037570

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