Radiation exposure to the surgeon during closed interlocking intramedullary nailing.

Levin, Paul E.; Schoen, Rudolf; Browner, Bruce D.

doi:10.2106/00004623-198769050-00019

Cited by 217 publications

(104 citation statements)

References 5 publications

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“…In terms of the amount of radiation exposed to, Levin et al report that the amount of radiation exposed to is 12.6 min, while Sugarman et al report that this period is 12.08 min [12][13][14]. One dose of scopy was only used to identify the fracture line of cases that did not experience any difficulties during the application of distal interlocking screws.…”

Section: Discussionmentioning

confidence: 99%

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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The purpose of this study is that to evaluate superiority and results of open technique in the treatment of femoral shaft fracture with interlocking intramedullary nailing. The retrospective study is designed to evaluate results of our technique. In this study, the patients that were admitted to the Orthopedics and Traumatology Department of University Hospital that is third level of trauma center. We claim that open technique is not a disadvantage during union process over closed technique in treatment of femoral shaft fracture with interlocking nailing. In this study, 44 patients that were consulted for adult femoral shaft fracture between January 2008 to July 2010 were included. Patients with open fractures, gunshot wounds, neurovascular injuries, and patients that did not have isolated femoral diaphysis fractures were excluded from the study. Clinical and radiological results of the patients were checked periodically. The open interlocking intramedullary nailing was used in treatment. Complete union rate was 90.9 % in 40 patients who were treated with open interlocking intramedullary nailing for adult femoral shaft fracture, and nonunion rate was 9.1 % in four patients. Mean union time was 18.3 weeks (12-36-weeks

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Section: Discussionmentioning

confidence: 99%

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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“…Moreover, long-term effects of this radiation exposure are unknown [7]. Therefore, every effort must be made to keep radiation exposure to a minimum [9].…”

Section: Discussionmentioning

confidence: 99%

Nail over nail technique for distal locking of femoral intramedullary nails

Rohilla

Singh

Magu

et al. 2008

International Orthopaedics (SICOT)

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The free hand technique remains the most popular method for distal locking; however, radiation exposure is a major concern. In an endeavour to overcome this concern, distal locking with the nail over nail technique is evaluated. Seventy patients with femoral diaphyseal fractures treated by intramedullary nailing were divided in two groups for distal locking: either using the free hand technique (group I) or with the nail over nail technique (group II). The average number of images taken to achieve nail insertion without locking, for distal locking, and for the complete procedure in group I was 25.8, 24.2, and 50.08, respectively, compared with 24.8, 4.1, and 28.9, respectively, in group II (statistically extremely significant decrease in radiation). The nail over nail technique appears to be a reliable solution for decreasing radiation exposure during closed femoral intramedullary nailing. However, over-reaming of 1.5 mm is the key to the success of the technique.

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“…[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

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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.

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Radiation exposure to the surgeon during closed interlocking intramedullary nailing.

Cited by 217 publications

References 5 publications

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

Nail over nail technique for distal locking of femoral intramedullary nails

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

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