A software simulation of tibial fracture reduction with external fixator

Viceconti, Marco; Sudanese, A; Toni, Aldo; Giunti, Armando

doi:10.1016/0169-2607(93)90003-4

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…During the fluoroscopy time, operating team is far from the operating table and fracture reduction is decreased to about 1.5 min. Using of this device can also be help-ful in the intentions of computer added fracture reduction (5,6). This device helps during the reduction but also holds the achieved fragment position until definitive fixation.…”

Section: Resultsmentioning

confidence: 99%

Closed Fracture Reduction Using Motorized Remote Controlled Reduction Device

Mitković¹,

Micić²,

Mladenovic³

et al. 2006

Biotechnology & Biotechnological Equipment

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The objective of this study was to test clinically one new portable, motorised, remote controlled fracture reduction device. In vivo fluoroscopic analysis of the function of the device. Radiation exposure of the surgical team during fluoroscopy is one potential danger for the health. Minimal invasive surgery searching for reduction device which will hold position of the fragments during the fixation. Visual analysis was performed in 20 bone models (n=20) and fluoroscopic in vivo (n=6) closed fracture reduction using motorised, remote controlled reduction device. In vivo results showed average closed tibial and femoral fracture reduction for 96 sec. Reduction was successful in all patients. Position of the fragments was held until definitive fixation. Motorised remote controlled device is helpful in obtaining relatively quick fracture reduction with reducing of irradiation exposure of the surgical team and in holding of achieved reduction. Remote controlled, motorised reduction device reduces irradiation exposure of the surgical team, but also minimally invasive fixation methods could take advantage of easy reduction and holding of the fragment position until fixation. Motorised reduction device could be useful tool implemented in computer added reduction and robot.

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Section: Resultsmentioning

confidence: 99%

Closed Fracture Reduction Using Motorized Remote Controlled Reduction Device

Mitković¹,

Micić²,

Mladenovic³

et al. 2006

Biotechnology & Biotechnological Equipment

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“…Clinical informatics knowledge exchange has been the subject of some research. These exchanges, frequently referred to as clinical consult services, mediate the sharing of knowledge between medical librarians and clinicians and have proved effective for integrating knowledge into patient care [Jerome et al, 2001;Mulvaney et al, 2008;Viceconti et al, 1993].…”

Section: Knowledge Sharingmentioning

confidence: 99%

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Wills¹,

Sarnikar²,

El‐Gayar³

et al. 2010

CAIS

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Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technologybased KM approaches.

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“…External fixation has become an important tool in treating polytraumatised patients 5 . Closed reduction and decrease in fluoroscopy time 6,7,8 are increasingly desirable in modern orthopaedic surgery. Intraarticular fractures are a problem and joint motion is desirable as soon as internal fixation is achieved 9 .…”

Section: Introductionmentioning

confidence: 99%

New concept in external fixation

Mitković

Bumbaširević²,

Golubović

et al. 2005

ACTA CHIR IUG

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A new concept in external skeletal fixation is presented. A 3D unilateral system developed by Mitkovic has widely been investigated biomechanically in AO institute in Davos (Switzerland). Consists of three components only providing extremely simple application and dynamic fixation of bones and different joints. This simple external fixator functions as an accurate reduction device at the same time, minimizing need for fluoroscopy. Clinically this system has been applied to mere then 13 thousand patients in 43 clinics. This paper presents the results of its application for treatment of open fractures, war wounds with fractures and for comminuted and intraarticular closed fractures in the series of 597 patients. Overall average time for union time was 3.2 months. Overall success of fracture healing was 96.8% including open and closed fractures. Our study suggests that the use of this 3D unilateral system is suitable for routine use.

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A software simulation of tibial fracture reduction with external fixator

Cited by 7 publications

References 5 publications

Closed Fracture Reduction Using Motorized Remote Controlled Reduction Device

Closed Fracture Reduction Using Motorized Remote Controlled Reduction Device

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

New concept in external fixation

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