Radiation-free distal locking of intramedullary nails: Evaluation of a new electromagnetic computer-assisted guidance system

Stathopoulos, Ioannis P.; Karampinas, Panagiotis Κ.; Evangelopoulos, Dimitrios-Stergios; Lampropoulou-Adamidou, Kalliopi; Vlamis, John

doi:10.1016/j.injury.2012.08.051

Cited by 32 publications

(24 citation statements)

References 43 publications

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“…Several methods have been developed to overcome the inconvenience of free-hand distal locking [14,24,25]. EMTS is one of the most common and most attainable ones of these new developments.…”

Section: Discussionmentioning

confidence: 99%

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Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

Çiftdemir

Tuncel

Özcan

et al. 2014

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

“…EMTS is one of the most common and most attainable ones of these new developments. There are several studies which compare free-hand and EMTS guided distal locking [24][25][26][27]. The main arguments are duration of surgery and radiation exposure in these studies.…”

Section: Discussionmentioning

confidence: 99%

Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

Çiftdemir

Tuncel

Özcan

et al. 2014

International Orthopaedics (SICOT)

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“…The authors observed that, when compared to the standard free hand technique, using the electromagnetic guidance system has a high accuracy (100% vs 96%) and is associated with fewer complications, given the shorter time required by the distal blockage and the lack of radiation exposure. Also, in 2012, Stathopoulos et al [25] evaluated SURESHOT® Distal Targeting System on 19 patients achieving 100% blockage accuracy and reduced interlocking time, concluding that the system has a high accuracy, and it is quick and easy to learn.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of TRIGEN SURESHOT® distal targeting system - A new electromagnetic computer-assisted guidance system

Veliceasa

Bandac²,

Popescu

et al. 2015

2015 E-Health and Bioengineering Conference (EHB)

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Intramedullary nailing (IMN) remains the standard technique for the treatment of diaphyseal fractures of long bones. Recently, a new system has been introduced, TRIGEN SURESHOT®, designed by SMITH & NEPHEW, in which distal lockage of IMN no longer requires fluoroscopy. 102 patients (mean age 35.8) with closed diaphyseal fractures (34 femoral shaft and 68 tibial shaft fractures) were treated by IMN using the SURESHOT® for distal interlocking. The accuracy was 97.05%; intraoperative technical difficulties were encountured in 9 cases -5 tibial and 4 femoral nails (1 antegrade and 3 retrograde). The average time of insertion of both distal interlocking screws was: 235.6 sec (between 228 and 246 sec) for antegrade femoral nails, 247.5 sec (between 236 and 268 sec) for retrograde femoral nails and 219.2 sec (between 202 and 251 sec) for tibial nails. This new method avoids exposure to ionizing radiation, while showing an accuracy of 96-100% and a low learning curve.

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“…A large number of targeting devices have been proposed to address this issue but the results are controversial 5, 6, 7, 8. Here, we describe our clinical experience with a system named SureShot™ Distal Targeting (Smith & Nephew, USA) based on magnetic field presence and discuss our suggestions on this technique.…”

Section: Introductionmentioning

confidence: 99%

A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience

Antonini

Stuflesser

Crippa

et al. 2016

Chinese Journal of Traumatology

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PurposeTo describe our clinical experience with a system named SureShot™ Distal Targeting (Smith & Nephew, Memphis, USA) based on magnetic field presence and discuss our suggestions on this technique.MethodsWe analysed prospectively 47 patients affected by humeral, tibial or femoral fractures, treated in our institution during a 3-year period of time (August 2010 to September 2013). We considered the following parameters: the time to set up, the time to position a single screw, the effectiveness of the system (drilling ad screwing), the irradiation exposure time during distal locking procedure and surgical complications.ResultsA total number of 96 screws were inserted. The mean preparation time of the device was 5.1 min ± 2 min (range 3–10 min). The mean time for single screw targeting was 5.8 min ± 2.3 min (range 4–18 min). No major complications occurred. Only a few locking procedures were needed to be practiced in order to obtain the required expertise with this targeting device.ConclusionAccording to our results, this device is reliable and valid whenever the correct technique is followed. It is also user friendly, exposes to lower radiation and needs less surgical time compared to relative data from the literature. However, the surgeon should always be aware of how to use the free hand technique in case of malfunctioning of the system.

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Radiation-free distal locking of intramedullary nails: Evaluation of a new electromagnetic computer-assisted guidance system

Cited by 32 publications

References 43 publications

Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

Evaluation of TRIGEN SURESHOT® distal targeting system - A new electromagnetic computer-assisted guidance system

A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience

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