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For hardware fractures, however, CR still remains the preferred method because of potential metallic streak artifacts on CBCT.
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Spinal hardware should be carefully assessed on all imaging studies to exclude hardware fracture or loosening (Fig. 26).
X-rays will be routinely taken post-operatively at 2 weeks, 6 weeks and thereafter to assess bony fracture union and any fracture or hardware related complications as required.
The removal of the hardware after union of fractures would have caused a different pattern of bony lesions even though it is nearly impossible to prefigure the nature of these fractures.
Radiological assessment using plain radiographs was done to know the status of union of the fracture, alignment, hardware problems and any malunion.
Advancement of adhesives technology has been limited in orthopedics, which still has a striking reliance on metal hardware to help facilitate fracture healing.
How did it fail, you might ask? "Lateral malleuolus was fractured beneath hardware upon sectioning. 2 gaping necrotic wounds on both the lateral and medial malleolus.
Though, distinct hardware related complaints after fracture union are reported.
Patients who required an open reduction of their fracture with hardware placement were not eligible for inclusion.
A repeat CT scan at 15 months revealed a graft fracture and hardware loosening and the PET/CT result was therefore true positive.
Dobbins et al. [ 14] showed positive sonicate cultures in 77 % of removed orthopedic fixation devices and Moussa et al. [ 15] in 52.3 % of patients with removal of fracture-fixation hardware.
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