A novel transcutaneous ultrasonography guided single port removal of a pelvic appendicolith

TECHNIQUE Skin traction is applied to the leg in the normal fashion. Rotation of the fracture is controlled by bringing the inner cord under the inner bar and back to the midline while the outer cord is brought over the outer bar and back to the midline (Fig 1). Two reef knots are placed with a gap between them to create a loop for later (Fig 2). One of the cords is used for pre-tensioning by attaching it to the end of the splint (Fig 3). The other end of the cord is brought over the end of the splint and then back through the loop created between the two reef knots and then back over the end of the splint and through the loop for a second time (Fig 4). This creates a pulley system and, by pulling, the free cord creates tension effortlessly before securing it to the end of the splint (Fig 5).