Document Detail


The comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implants.
MedLine Citation:
PMID:  23298756     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: In locking intramedullary nails, the most important problem is to put the distal interlocking screw accurately and quickly with minimum radiation exposure. The purpose of this clinical study was to compare the fluoroscopic time and surgical time required for distal locking with either free-hand fluoroscopic guidance or with an electromagnetic navigation system. MATERIALS AND METHODS: The study comprised 54 patients with 58 fractures of the lower extremity. The patients were divided in two groups: distal locking with freehand fluoroscopic guidance (group I) and distal locking with electromagnetic navigation (group II). The primary outcome in this study was fluoroscopy time. The secondary outcome was the operative time in distal interlocking. RESULTS: In group I, the mean operation time was 108 (81-135) min, the mean time for distal interlocking was 18.35 (9-27) min, the total fluoroscopy time was 47.77 (19-74) s, the mean fluoroscopy time during distal interlocking was 18.29 (2-29) s and the mean attempt at number of distal locking for two screws was 9.96 (2-18) times. In group II, the mean operation time was 80.96 (63-100) min, the mean time for distal interlocking was 7.85 (6.5-10) min, the total fluoroscopy time was 22.59 (15-32) s, the mean fluoroscopy time during distal interlocking was 1.62 (0-2) s and the mean attempt number of distal interlocking was 2 (2-2). CONCLUSION: Fluoroscopy time to achieve equivalent precision is significantly reduced with electromagnetism-based surgical navigation compared with free hand fluoroscopic guidance. Also the operative time is significantly reduced with electromagnetic based navigation.
Authors:
Vedat Uruc; Raif Ozden; Yunus Dogramacı; Aydıner Kalacı; Beşir Dikmen; Omer Serkan Yıldız; Erhan Yengil
Related Documents :
24726756 - Risk of osteoarthritis secondary to partial or total arthrodesis of the subtalar and mi...
23190026 - Nebulized lidocaine alone or combined with fentanyl as a premedication to general anest...
23751166 - Gender and other disparities in referral to specialized heart failure clinics following...
22961516 - Randomized clinical trial of dexamethasone versus placebo in laparoscopic inguinal hern...
7739306 - Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser.
9024026 - Intrathecal sufentanil for labor analgesia: do sensory changes predict better analgesia...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-5
Journal Detail:
Title:  Injury     Volume:  -     ISSN:  1879-0267     ISO Abbreviation:  Injury     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Orthopedics and Traumatology, Medicine Faculty of Mustafa Kemal University, Antakya, Hatay, Turkey. Electronic address: urucvedat@gmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Transmediastinal gunshot wounds in a mature trauma centre: Changing perspectives.
Next Document:  External fixation versus open reduction with plate fixation for distal radius fractures: A meta-anal...