Abstract：
Periarticular hardware placement can be challenging and a source of angst for orthopaedic surgeons due to fear of penetrating the articular surface and causing undue harm to the joint. In recent years, many surgeons have turned to computed tomography (CT) and other intraoperative or postoperative modalities to determine whether hardware is truly extraarticular in areas of complex anatomy. Yet, these adjuncts are expensive, time consuming, and often unnecessary given the advancement in understanding of intraoperative fluoroscopy. We present a review article with the goal of empowering surgeons to leave the operating room, with fluoroscopy alone, assured that all hardware is beneath the articular surface that is being worked on. By understanding a simple concept, surgeons can extrapolate the information in this article to any joint and bony surface in the body. While targeted at both residents and surgeons who may not have completed a trauma fellowship, this review can benefit all orthopaedic surgeons alike.
摘要：
由于害怕穿透关节表面并对关节造成不适当的伤害，关节周围的硬件放置可能是具有挑战性的，并且是整形外科医生的焦虑源。近年来,许多外科医生已经转向计算机断层扫描(CT)和其他术中或术后方式,以确定硬件在复杂解剖结构区域是否真正位于关节外.然而，这些辅料很贵,耗时,考虑到对术中透视的理解，通常是不必要的。我们发表了一篇评论文章，目的是授权外科医生离开手术室，单用透视,保证所有的硬件是下面的关节表面，正在工作。通过理解一个简单的概念，外科医生可以将本文中的信息外推到身体的任何关节和骨表面。虽然针对的是可能没有完成创伤研究金的居民和外科医生，这篇综述可以使所有骨科医生受益。
