Accuracy Analysis of a Novel Electromagnetic Navigation Procedure Versus a Standard Minimally Invasive Method for Arthroscopically Assisted Acromioclavicular Joint Reconstructions
| Autor: | Jacob V. Nüchtern, Maximilian J Hartel, Johannes M. Rueger, Malte Schroeder, Michael Korecki, Michael Hoffmann, Jan Philipp Petersen, Wolfgang Lehmann |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Shoulder medicine.medical_specialty Time Factors medicine.medical_treatment Arthroplasty Coracoid Arthroscopy Cadaver medicine Humans Acromioclavicular joint Fluoroscopy Orthopedics and Sports Medicine Reduction (orthopedic surgery) medicine.diagnostic_test business.industry Reproducibility of Results Surgery medicine.anatomical_structure Acromioclavicular Joint Feasibility Studies Female Tomography Tomography X-Ray Computed business Nuclear medicine Cadaveric spasm Electromagnetic Phenomena |
| Zdroj: | Arthroscopy: The Journal of Arthroscopic & Related Surgery. 30:928-935 |
| ISSN: | 0749-8063 |
| Popis: | Purpose The aim of this cadaveric study was to evaluate the accuracy, feasibility, and operation time of a novel electromagnetic navigation system (ENS) and procedure for transclavicular-transcoracoid tunnel placement compared with a standard minimally invasive (SMI) reconstruction method for minimally invasive arthroscopically assisted anatomic acromioclavicular joint reconstruction. Methods Ten arthroscopically assisted electromagnetic-navigated transclavicular-transcoracoid drilling procedures and 10 SMI procedures were performed on 10 human cadavers using 2 TightRope reconstructions (Arthrex, Naples, FL) for each site. Postoperative computed tomography scans were acquired to determine tunnel placement accuracy. Optimal coracoid tunnel placement was defined according to the anatomic insertions of the trapezoid and conoid ligaments with the oblong button placed in a center-base position at the coracoid undersurface without cortical breach or fracture. Both reconstruction procedures were performed without fluoroscopy. Results Successful tunnel placement was accomplished in 98.8% using the ENS method and in 83.8% using the SMI procedure ( P = .087). The mean overall operation time was 28.5 ± 6.6 minutes for the ENS method and 35.2 ± 3.9 minutes for the SMI method ( P = .012). The ENS procedure required no directional readjustments or restarts. Drill misguidance with subsequent cortical breach occurred twice in the SMI group. In both groups no fractures were documented. Conclusions In this descriptive laboratory study, both the ENS and the SMI techniques achieved the desired anatomic reconstruction. Compared with the SMI method, the ENS procedure showed higher accuracy, required a shorter operation time, and was associated with no complications. Clinical Relevance Length of surgery, drilling accuracy, and reduction of radiation exposure in acromioclavicular joint reconstruction procedures affect the safety of both patients and surgeons. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|