scholarly journals Endoscopy-assisted distal locking of an intramedullary nail: A new experimental technique to reduce radiation exposure during distal locking of the intramedullary nails

2021 ◽  
Vol 32 (3) ◽  
pp. 642-648
Author(s):  
Serkan Davut ◽  
Yunus Doğramacı
Keyword(s):  
Radiation Exposure ◽  
Experimental Technique ◽  
Intramedullary Nail ◽  
Intramedullary Nails ◽  
Reduce Radiation Exposure ◽  
Distal Locking

scholarly journals Comparing Effectiveness Between a Power-Drill-Mounted Device and Conventional Free-Handed Technique for Distal Locking of Intramedullary Implants

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0022
Author(s):  
Supachoke Wattanakitkrileart ◽  
Boonsin Tangtrakulwanich ◽  
Varah Yuenyongviwat
Keyword(s):  
Radiation Exposure ◽  
Exposure Time ◽  
Operative Time ◽  
Operating Time ◽  
Surgical Team ◽  
Intramedullary Nails ◽  
Distal Locking ◽  
Orthopedic Surgeons ◽  
Power Drill ◽  
Intramedullary Implants

Objectives: The procedure for distal locking of intramedullary nails (IM nail) is one of the time-consuming procedures and also exposes the surgical team and patient to high levels of radiation. Many techniques and devices have been created to solve the problems. Nonetheless, conventional free-hand technique is still the most popular due to easy-to-use and no added device needed. This research aims to study the accuracy of a drill-mounted device with free-handed technique in the distal locking of IM nail procedure. Methods: This is an experimental study. The device was made from PVC pipes. In this study, IM-nail-inserted synthetic femoral bones (Synbone®) were set as in IM nail procedure. Four orthopedic surgeons were instructed and performed the distal locking procedure with free-handed technique and then with the device (totally 20 times for each technique). The radiation exposure time and operating time were recorded. Results: The drill-mounted device reduced the radiation exposure time statistically significant lower than the free-handed technique. However, there was no different in operative time between the two techniques. Screw misdirection occurred two times in free-handed technique but not found in our device-assisted group. Conclusion: In this experiment, the new-designed device can reduce the radiation exposure time in distal IM nail interlocking procedure. Nonetheless, further clinical study is required to confirm our results.

scholarly journals Development of a Magnetic Targeting Device Applied to Interlocking of Distal Intramedullary Nail Screw Holes

2003 ◽  
Author(s):  
David C. Szakelyhidi
Keyword(s):  
Radiation Exposure ◽  
Intramedullary Nail ◽  
Magnetic Targeting ◽  
The Novel ◽  
Intramedullary Nails ◽  
Current Technology ◽  
Novel Device ◽  
Distal Interlocking ◽  
Correct Location

A magnetic targeting device was developed to assist orthopedic surgeon’s with distal interlocking of intramedullary nails, in which the novel device aligns the surgeon’s drill at the correct location for drilling. This device has significant advantages over current technology, being percutaneous, portable, and using no fluoroscopy for targeting. This device can allow shorter surgery, decreased radiation exposure, and fewer complications for the surgeon and patient.

A computer assisted orthopaedic surgical system for distal locking of intramedullary nails

1997 ◽  
Vol 211 (4) ◽  
pp. 293-300 ◽  
Author(s):  
W J Viant ◽  
R Phillips ◽  
J G Griffiths ◽  
T O Ozanian ◽  
A M M A Mohsen ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Vision System ◽  
Image Intensifier ◽  
Computer Assisted Surgery ◽  
Computer Assisted ◽  
Prototype System ◽  
Intramedullary Nails ◽  
X Ray ◽  
Distal Locking ◽  
Time Required

This paper presents a prototype system for computer assisted surgery, the purpose of which is to assist orthopaedic surgeons when performing distal locking of intramedullary nails. This system comprises three components, namely: an Intelligent Image Intensifier, a Trajectory Tactician and an Intelligent Trajectory Guide. The Intelligent Image Intensifier is an X-ray vision system that provides accurate X-ray images. Such images enable the Trajectory Tactician software to analyse the operation site and calculate the trajectory required for a screw to lock an intramedullary nail. This involves the capture of two X-ray images from which are extracted the projections of the nail's edge boundaries and its distal locking holes. Using an analytical mathematical model of the nail, the position and orientation of the nail is determined. The trajectory is then implemented by the surgeon using the Intelligent Trajectory Guide. Evaluation in the laboratory suggests that the system is capable of reliably inserting a locking screw into an intramedullary nail. The rapidity with which this computer assisted method achieves locking should benefit both patient and surgeon by reducing radiation dosage and the length of time required to lock a nail.

Advances in Cardiac SPECT and PET Imaging: Overcoming the Challenges to Reduce Radiation Exposure and Improve Accuracy

2013 ◽  
Vol 29 (3) ◽  
pp. 275-284 ◽  
Author(s):  
Gary R. Small ◽  
R. Glenn Wells ◽  
Thomas Schindler ◽  
Benjamin J.W. Chow ◽  
Terrence D. Ruddy
Keyword(s):  
Radiation Exposure ◽  
Pet Imaging ◽  
Cardiac Spect ◽  
Reduce Radiation Exposure ◽  
Improve Accuracy
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