A Novel Guidewire Aiming Device to Improve the Accuracy of Guidewire Insertion in Femoral Neck Fracture Surgery Using Cannulated Screw Fixation

Yin, Wenwu; Xu, Haowen; Xu, Peijun; Hu, Tu; An, Zhiquan; Zhang, Changqing; Sheng, Jifang

doi:10.12659/msm.897120

Cited by 10 publications

(9 citation statements)

References 17 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Special instruments, such as a novel guidewire aiming device (20), a self-designed femoral neck guide pin locator (21), a new adjustable parallel drill guide (22), and robot navigation (23,24) have reportedly been used for the placement of guiding needles. They are believed to have the potential to improve the precision of guide pin insertion.…”

Section: Discussionmentioning

confidence: 99%

A localization method for guide pin insertion points in the treatment of femoral neck fracture with closed reduction and percutaneous cannulated screw fixation

Yang

et al. 2022

Ann Transl Med

View full text Add to dashboard Cite

Background: Closed reduction and percutaneous cannulated screw fixation is the preferred surgical method for treating femoral neck fractures in elderly patients under 70 years old. The key to the operation is the precise insertion of the guide pin after the successful reduction. However, there is no universally accepted standard for the localization of the guide pin insertion point. This study introduces our invention of a localization method for guide pin insertion points.Methods: We used fluoroscopic frequency, operative time, union rates, and complications to retrospectively evaluate the treatment and outcome of femoral neck fractures using our localization method for guide pin insertion points. The study included ten patients treated at Affiliated Hospital of Shandong University of Traditional Chinese Medicine between 2010 and 2014 for femoral neck fracture using our localization method for guide pin insertion points.Results: Our results showed that the mean number of fluoroscopies was 5 (range, 4-8), and the mean operative time was 32 minutes (range, 25-51 minutes). All 10 patients achieved union at an average of 3.4 months (range, 2.8-6.2 months) without complications after the operation. The average follow-up time was 13.2 months (range, 12.2-16 months). The treatment of femoral neck fracture with our localization method for guide pin insertion points resulted in satisfactory curative efficacy without complications.Conclusions: Our localization method offers distinct advantages, including the accuracy and simplicity of the operation, a low rate of complications, and adequate biomechanical stability. As such, it provides a feasible method for clinical treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

A localization method for guide pin insertion points in the treatment of femoral neck fracture with closed reduction and percutaneous cannulated screw fixation

Yang

et al. 2022

Ann Transl Med

View full text Add to dashboard Cite

show abstract

“…Other researchers have developed guides to accurately place Kirschner wires. Yin et al demonstrated a novel guidewire aiming device to improve the accuracy of guidewire insertion [10]. However, the operation was complicated.…”

Section: Discussionmentioning

confidence: 99%

A novel device for accurate placement of guide wire in cannulated screw fixation of femoral neck fracture: A pilot study

Ren

2020

Preprint

View full text Add to dashboard Cite

Background: Accurate placement of cannulated screws is the key to stable fixation of the femoral neck fracture. A novel device was developed to improve the accuracy of screw placement. Methods: 20 synthetic femoral bones were divided into conventional technique group and the experimental group. Three Kirschner wire were inserted into the femoral neck fracture by conventional technique or by the novel guide device. The operative time, total drilling attempts and fluoroscopic frequency were evaluated.Results: By using the guide device, the fluoroscopy and operation time of the experimental group were shorter that of the conventional method. The total drilling attempts with the novel guide device were significantly lower than the conventional technique group.Conclusion: This device can help trauma surgeons shorten the surgical time and reduce radiation exposure time. The use of this guide device can make screw fixation for femoral neck fracture easier.

show abstract

“…[3–5,10,12–14] Accordingly, appropriate placement of guide needles is vital to treat FNF with PCS. [17] The use of a SVMN technique was explored to assist in a PCS insertion.…”

Section: Discussionmentioning

confidence: 99%

Technology of percutaneous cannulated screw implantation using screw view model of navigation in Garden type I of femoral neck fracture

Yu¹,

Yuan²,

Zhang

et al. 2019

Medicine

View full text Add to dashboard Cite

Rationale: The aim of the present study was to assess the efficacy and safety of percutaneous cannulated screw (PCS) implantation assisted by screw view model of navigation (SVMN) to treat femoral neck fracture (FNF). Patient concerns: A 42-year-old male patient suffered from a high falling injury, causing pain, swelling, deformity, and limited mobility on his right hip. Diagnoses: He was diagnosed with Garden type I of FNF. Interventions: PCS implantation assisted by SVMN was used to treat fracture of femoral neck in this patient. Outcomes: The follow up lasted for 48 months. A total of 3 screws were inserted into femoral neck, all exhibiting excellent position. The mean screw deviation was 0.43° and 5.73° of femoral neck-shaft and anteversion angle, respectively. The guide wire drilling attempt of each screw was one-time. The fluoroscopic time lasted 6.3 minutes, the Harris hip scores improved from 67 to 88, and the blood loss was 35 mL. It took 11.7 minutes for designing the screws, 13.9 minutes for implanting the guide wires, and 37.3 minutes for placing the screws. No clinical complications were found during 48-month follow-up visit, including head penetration, implant failure, fracture nonunion, and femoral head osteonecrosis. Lessons: The study revealed that SVMN is conducive to the PCS insertion for FNF. Our lesson is that the FNF must be well reduction before SVMN assisted PCS placement.

show abstract

A Novel Guidewire Aiming Device to Improve the Accuracy of Guidewire Insertion in Femoral Neck Fracture Surgery Using Cannulated Screw Fixation

Cited by 10 publications

References 17 publications

A localization method for guide pin insertion points in the treatment of femoral neck fracture with closed reduction and percutaneous cannulated screw fixation

A localization method for guide pin insertion points in the treatment of femoral neck fracture with closed reduction and percutaneous cannulated screw fixation

A novel device for accurate placement of guide wire in cannulated screw fixation of femoral neck fracture: A pilot study

Technology of percutaneous cannulated screw implantation using screw view model of navigation in Garden type I of femoral neck fracture

Contact Info

Product

Resources

About