Journals / Joint diseases and related surgery / 2021 / Cilt: 32 - Sayı: 3

Endoscopy-assisted distal locking of an intramedullary nail:A new experimental technique to reduce radiation exposureduring distal locking of the intramedullary nails

Pages
642–648
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

With the use of the intranail endoscopic illuminationguidance and visualization assistance technique, the medianperiod time required for the distal locking procedure reducedfrom 477.5 to 223.5 sec (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: In this study, we aimed to introduce a new techniquein which distal locking step was easier and safer for orthopedictrauma surgeons involving in the treatment of long bone fracturesusing an intranail endoscopic visualization and illuminationmethod.
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Key Findings & Data:Materials and methods: A total of 20 fresh bovine hind limbsderived from healthy adults and killed for sale were dissectedto obtain tibial bones.
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Conclusion & Impact:With the use of the intranail endoscopic illuminationguidance and visualization assistance technique, the medianperiod time required for the distal locking procedure reducedfrom 477.5 to 223.5 sec (p
🔬Design:Research Article
📍Scope:10 samples
⚙️Variables:Domain Parameters

Abstract

Objectives: In this study, we aimed to introduce a new techniquein which distal locking step was easier and safer for orthopedictrauma surgeons involving in the treatment of long bone fracturesusing an intranail endoscopic visualization and illuminationmethod. Materials and methods: A total of 20 fresh bovine hind limbsderived from healthy adults and killed for sale were dissectedto obtain tibial bones. Two equal groups including 10 samplesin each were prepared. We applied a standard nailing processin both groups: the study group (n=10) was locked by thenew technique, intranail endoscopic illumination guidance andintranail visualization assistance locking technique and thecontrol group (n=10) was locked by the classical free-handfluoroscopic guidance technique. We measured the surgicalperiod time and the radiation exposure time required for thedistal locking in both groups. Results: The radiation exposure time was statisticallysignificantly lower in the study group compared to the controlgroup. Also, the time period required for distal locking in thestudy group were statistically significantly lower than the controlgroup. With the use of the intranail endoscopic illuminationguidance and visualization assistance technique, the medianperiod time required for the distal locking procedure reducedfrom 477.5 to 223.5 sec (p

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Cite This Article

DAVUT, S., DOĞRAMACI, Y. (2022). Endoscopy-assisted distal locking of an intramedullary nail:A new experimental technique to reduce radiation exposureduring distal locking of the intramedullary nails. Joint diseases and related surgery, Cilt: 32 - Sayı: 3, 642–648. https://ajindex.com/articles/559202

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References (13)

  1. Krettek C, Mannss J, Miclau T, Schandelmaier P, Linnemann I, Tscherne H. Deformation of femoral nails with intramedullary insertion. J Orthop Res 1998;16:572-5
  2. Hutson JJ, Zych GA, Cole JD, Johnson KD, Ostermann P, Milne EL, et al. Mechanical failures of intramedullary tibial nails applied without reaming. Clin Orthop Relat Res 1995;315:129-37
  3. Krettek C, Könemann B, Miclau T, Schlandelmaier P, Blauth M, Tscherne H. In vitro and in vivo radiomorphometric analyses of distal screw hole position of the solid tibial nail following insertion. Clin Biomech (Bristol, Avon) 1997;12:198-200
  4. Knudsen CJ, Grobler GP, Close RE. Inserting the distal screws in a locked femoral nail. J Bone Joint Surg [Br] 1991;73:660-1
  5. Mitchell PM, Collinge CA, Barcak E, Perez E, Triantafillou K. Proximity and risks of the anterior neurovascular and tendinous anatomy of the distal leg relative to anteriorly applied distal locking screws for tibia nailing: A plea for open insertion. J Orthop Trauma 2017;31:375-9
  6. Tsalafoutas IA, Tsapaki V, Kaliakmanis A, Pneumaticos S, Tsoronis F, Koulentianos ED, et al. Estimation of radiation doses to patients and surgeons from various fluoroscopically guided orthopaedic surgeries. Radiat Prot Dosimetry 2008;128:112-9
  7. Kwong LM, Johanson PH, Zinar DM, Lenihan MR, Herman MW. Shielding of the patient's gonads during intramedullary interlocking femoral nailing. J Bone Joint Surg [Am] 1990;72:1523-6
  8. Barry TP. Radiation exposure to an orthopedic surgeon. Clin Orthop Relat Res 1984;182:160-4
  9. Singer G. Occupational radiation exposure to the surgeon. J Am Acad Orthop Surg 2005;13:69-76
  10. Chou LB, Cox CA, Tung JJ, Harris AH, Brooks-Terrell D, Sieh W. Prevalence of cancer in female orthopaedic surgeons in the United States. J Bone Joint Surg [Am] 2010;92:240-4
  11. Uruc V, Ozden R, Dogramacı Y, Kalacı A, Dikmen B, Yıldız OS, et al. The comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implants. Injury 2013;44:863-6
  12. Windolf M, Schroeder J, Fliri L, Dicht B, Liebergall M, Richards RG. Reinforcing the role of the conventional C-arm--a novel method for simplified distal interlocking. BMC Musculoskelet Disord 2012;13:8
  13. Malek S, Phillips R, Mohsen A, Viant W, Bielby M, Sherman K. Computer assisted orthopaedic surgical system for insertion of distal locking screws in intra-medullary nails: a valid and reliable navigation system. Int J Med Robot 2005;1:34-44