Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)

Krettek, Christian; Könemann, B.; Farouk, Osama; Miclau, Theodore; Kromm, Alexander; Tscherne, H.

doi:10.1097/00005131-199808000-00001

Cited by 32 publications

(14 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ionizing radiation is a concern for patients and, especially, for surgeons and operating room staff who are exposed to it continuously over time . Many of the recently introduced technologies for distal interlocking aim to reduce radiation exposure by decreasing the number of radiographic images required to perform the procedure . In the current study, we found that both the mean and the variance of the number of fluoroscopic images acquired were lower when using VAF for distal interlocking.…”

Section: Discussionmentioning

confidence: 50%

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Weidert

Wang

Landes³

et al. 2019

Robotics Computer Surgery

View full text Add to dashboard Cite

Background We aimed to assess the feasibility of a video‐augmented fluoroscopy (VAF) technique using a camera‐augmented mobile C‐arm (CamC) for distal interlocking of intramedullary nails. Methods Three surgeons performed distal interlocking on seven pairs of cadaveric bovine carpal bones using the VAF system and conventional fluoroscopy. We compared radiation exposure, procedure time, and drilling quality between the VAF system and conventional fluoroscopic guidance. Results Distal interlocking using VAF significantly reduced the number of fluoroscopic images compared with conventional fluoroscopy (P < 0.05). No significant difference in overall procedure time (P = 0.96) or drilling quality (P = 0.12) was detected. VAF demonstrated improvement in radiation exposure when used by a less experienced surgeon (P < 0.05). Conclusion VAF is a feasible technique for distal interlocking. Overlaid visualization of the osseous anatomy in relation to the surgical field of view appears to improve surgeons' perception of relevant structures and their spatial orientation for the use of surgical instruments.

show abstract

Section: Discussionmentioning

confidence: 50%

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Weidert

Wang

Landes³

et al. 2019

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

“…[10] In addition to these mechanical problems, DI is also responsible for the majority of radiation exposure and a significant investment of surgical time in the entire procedure. [11,12] In order to overcome the problems regarding DI, various techniques and devices have been developed. [13][14][15][16][17][18][19] Despite their developments, no system has gained common acceptance and popularity; thus, DI remains a problem.…”

Section: Resultsmentioning

confidence: 99%

A newly designed intramedullary nail with distal interlocking system for tibia fractures in adults - the clinical results

Küçükdurmaz¹,

Akpınar²,

Saka³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

AMAÇTibia kırıklarının cerrahi tedavisinde oymalı ve oymasız seçenekler vardır. Oymalı çivilerin biyomekanik üstün-lükleri vardır ancak endosteal dolaşıma önemli ölçüde zarar verir. Oymasız çiviler ise endosteal dolaşımı korur fakat daha az stabil bir sabitleme sağlar. Her iki sistemde de distal kilit vidası kaynaklı instabilite nedeniyle hemen tam ağırlık vermek mümkün değildir. Ayrıca, distal kilit vidası, skopi kullanma ihtiyacının ve cerrahi sürenin uzamasından sorumludur. Bu çalışmada, yeni intramedül-ler çivi ve oymasız sistemle stabil bir sabitleme sağlayıp hemen tam ağırlık vermeye izin veren distal kilit vidası sisteminin klinik sonuçları sunuldu. GEREÇ VE YÖNTEM2008 ile 2010 yılları arasında yeni intramedüller sistemle ameliyat edilmiş 50 tibia kırığı (49 hasta) geriye dönük olarak değerlendirildi. Ameliyattan hemen sonraki 1. gün tam ağırlığa izin verildi. Hastalar ameliyat sonrası en az 10 ay takip edildi. BULGULARDistal kilitleme için ortalama skopi süresi 18 saniye (min: 10, maks: 30) idi. Ortalama kaynama süresi 9 hafta (min: 6, maks: 12). Nörovasküler yaralanma, derin enfeksiyon, yanlış veya gecikmiş kaynama ve kaynamama yoktu. SONUÇBiz bu çalışmamızla yeni geliştirdiğimiz intramedüller çi-vinin ve distal kilit vidası sisteminin distal kilit vidasından kaynaklanan stabilite problemlerinin çözülmesinde bir seçenek olabileceğini gösterdik. Ayrıca sistemimiz ameliyatta gereken skopi ihtiyacını da önemli ölçüde azaltmaktadır.Anahtar Sözcükler: Distal kilit vidası; skopi; hemen tam ağırlık verme; stabilite; tibia kırığı.

show abstract

“…When traction table was not available lateral position was used for fracture femur 7 and supine position for fracture tibia.…”

Section: Positionmentioning

confidence: 99%

Intramedullary Interlocking Nailing; Without Image Intensifier, Ortho-Table and X-Rays - A Recognized Technique. (A Comparative Study)

Orfi¹,

Ahmad²,

Orfi³

2017

TPMJ

View full text Add to dashboard Cite

ORIGINAL PROF-3639 ABSTRACT… Static I /M I/L Nailing is considered to be the gold standard for fixing mid-shaft fractures of long bones. Flexible nails or plates are used in children for internal fixation of such fractures to avoid damage to epiphysis. Nailing is done under image intensifier using ortho- A minimum follow-up of 06 months was done and observations made regarding estimated blood loss, average time of operation (including anesthesia), and fracture healing time, weight bearing, early and late complications. Results are compared in two groups. Conclusion: I/M I/L Nailing for long bones fractures can be done without image intensifier 11 or any intra-operative X-rays.4 Ortho-table is also not essential. Technique is simple. Opening the fracture site is not required in most of the cases. Minimal access is used when fracture site opening is required. It does not compromise any principle for internal fixation. Distal interlocking screws are applied without making a cortical window and their position is doubly confirmed intra-operatively by a simple technique (not mentioned in literature before this study). There are no added risks involved 12 and results are comparable to the procedure done using image intensifier and orthotable. Key words:Intra-medullary (I/M), Inter-locking (I/L), Combined Military Hospital (CMH)

show abstract

Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)

Abstract: These results suggest that the DAD can eliminate the need for radiation during placement of distal interlocking screws.

Cited by 32 publications

References 17 publications

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

Video‐augmented fluoroscopy for distal interlocking of intramedullary nails decreased radiation exposure and surgical time in a bovine cadaveric setting

A newly designed intramedullary nail with distal interlocking system for tibia fractures in adults - the clinical results

Intramedullary Interlocking Nailing; Without Image Intensifier, Ortho-Table and X-Rays - A Recognized Technique. (A Comparative Study)

Contact Info

Product

Resources

About