Radiation-free methods for navigated screw placement in slipped capital femoral epiphysis surgery

Koutenaei, Bamshad Azizi; Fotouhi, Javad; Alambeigi, Farshid; Wilson, Emmanuel; Güler, Özgür; Oetgen, Matthew E.; Cleary, Kevin; Navab, Nassir

doi:10.1007/s11548-019-02026-9

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Fluoroscopy is a high-cost operation in which patients and the surgical team are exposed to X-ray. Targeting device is a time-consuming process that involves trial and error 16 , 17 .…”

Section: Introductionmentioning

confidence: 99%

Intramedullary nail holes laser indicator, a non-invasive technique for interlocking of intramedullary nails

Maleki

Tehrani

Aray

et al. 2021

Sci Rep

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Interlocking of intramedullary nails is a challenging procedure in orthopedic trauma surgery. Numerous methods have been described to facilitate this process. But they are exposed patient and surgical team to X-rays or involves trial and error. An accurate and non-invasive method has been provided to easily interlocking intramedullary nails. By transferring a safe visible light inside the nail, a drilling position appears which use to drilling bone toward the nail hole. The wavelength of this light was obtained from ex-vivo spectroscopy on biological tissues which has optimal transmission, reflectance, and absorption properties. Moreover, animal and human experiments were performed to evaluate performance of the proposed system. Ex-vivo performance experiments were performed successfully on two groups of cow and sheep samples. Output parameters were procedure time and drilling quality which there were significant differences between the two groups in procedure time (P < 0.05). But no significant differences were observed in drilling quality (P > 0.05). Moreover, an In-vivo performance experiment was performed successfully on a middle-aged man. To compare the provided method, targeting-arm, and free-hand techniques, two human experiments were performed on a middle-aged and a young man. The results indicate the advantage of the proposed technique in the procedure time (P < 0.05), while the drilling quality is equal to the free-hand technique (P = 0.05). Intramedullary nail holes laser indicator is a safe and accurate method that reduced surgical time and simplifies the process. This new technology makes it easier to interlocking the intramedullary nail which can have good clinical applications.

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“…Fluoroscopy is a high-cost operation in which patients and the surgical team are exposed to X-ray. Targeting device is a time-consuming process that involves trial and error 16 , 17 .…”

Section: Introductionmentioning

confidence: 99%

Intramedullary nail holes laser indicator, a non-invasive technique for interlocking of intramedullary nails

Maleki

Tehrani

Aray

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Fluoroscopy is a high-cost operation in which patients and the surgical team are exposed to X-ray. Targeting device is a time-consuming process that involves trial and error 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Intramedullary Nail Holes Laser Indicator, a Non-Invasive Technique for Interlocking of Intramedullary Nails

Maleki

Tehrani

Aray

et al. 2021

Preprint

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Interlocking of intramedullary nails is a challenging procedure in orthopedic trauma surgery. Numerous methods have been described to facilitate this process. But they are exposed patient and surgical team to X-rays or involves trial and error. An accurate and non-invasive method has been provided to easily interlocking intramedullary nails. By transferring a safe visible light inside the nail, a drilling position appears which use to drilling bone toward the nail hole. The wavelength of this light was obtained from Ex-Vivo spectroscopy on biological tissues which has optimal transmission, reflectance, and absorption properties. Moreover, animal and human experiments were performed to evaluate performance of the proposed system. Ex-Vivo performance experiments were performed successfully on two groups of cow and sheep samples. Output parameters were procedure time and drilling quality which there were significant differences between the two groups in procedure time (P<0.05). But no significant differences were observed in drilling quality (P>0.05). Moreover, an In-Vivo performance experiment was performed successfully on a middle-aged man. Intramedullary nail holes laser indicator is a safe and accurate method that reduced surgical time and simplifies the process. This new technology makes it easier to interlocking the intramedullary nail which can have good clinical applications.

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A Biomechanics-Aware Robot-Assisted Steerable Drilling Framework for Minimally Invasive Spinal Fixation Procedures

Sharma,

Sun,

Bonyun

et al. 2024

IEEE Trans. Biomed. Eng.

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Radiation-free methods for navigated screw placement in slipped capital femoral epiphysis surgery

Cited by 4 publications

References 21 publications

Intramedullary nail holes laser indicator, a non-invasive technique for interlocking of intramedullary nails

Intramedullary nail holes laser indicator, a non-invasive technique for interlocking of intramedullary nails

Intramedullary Nail Holes Laser Indicator, a Non-Invasive Technique for Interlocking of Intramedullary Nails

A Biomechanics-Aware Robot-Assisted Steerable Drilling Framework for Minimally Invasive Spinal Fixation Procedures

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