X-ray of Hansson pins

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Author: Mikael Häggström [notes 1]

Planning

Frontal and lateral projections.

Post-operative evaluation

The pins should be at least 2 cm apart on frontal projection, and have <10° angle compared to each other.

Support points

For proper support, both pins should have support by the subchondral plate and the lateral cortex. In addition, the middle of the inferior pin should be supported by the medial cortex, and the middle of the posterior pin should have support from the medial cortex, with less than <5 mm distance from subchondral bone.[1]

Fracture alignment

"No misalignment" means:[1]

  • Dislocation of less than 2 mm
  • 0-15° valgus angle on frontal projection
  • Dorsal tilt of <10° on lateral projection

Report

Example: Inserted Hansson pins have proper positions. No fracture misalignment.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. 1.0 1.1 Marsel Toplić, Carl Mellner. LIH-spikning (Hansson Pin). ortobas.se.