Evaluation of the Stryker S2™ IM Nail Distal Targeting Device for reduction of radiation exposure: A case series study
| Autor: | Eustratios Athanaselis, Panagiotis G. Ntagiopoulos, Antonios Asimakopoulos, George Anastopoulos, George Loupasis, Dionisios Chissas, Panagiotis Megas |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Bone Nails Radiation Dosage law.invention Intramedullary rod Radiation Protection law Occupational Exposure Fracture fixation Humans Medicine Fluoroscopy Prospective Studies Lead (electronics) Reduction (orthopedic surgery) Aged General Environmental Science Aged 80 and over Intraoperative Care integumentary system medicine.diagnostic_test business.industry Middle Aged Fracture Fixation Intramedullary Surgery medicine.anatomical_structure Orthopedic surgery Nail (anatomy) General Earth and Planetary Sciences business Femoral Fractures Case series |
| Zdroj: | Injury. 39:1210-1215 |
| ISSN: | 0020-1383 |
| Popis: | Distal locking is one challenging step during intramedullary nailing of femoral shaft fractures that can lead to an increase of radiation exposure. In the present study, the authors describe a technique for the distal locking of femoral nails, implementing a new targeting device in an attempt to reduce radiation exposure and operational time. Over a 2-year period, 127 consecutive cases of femoral shaft fractures were included in the study. All cases were treated with nailing of femoral shaft fractures with an unslotted reamed antegrade femoral nail and distal locking was performed with the use of a proximally mounted aiming device. Mean duration of the procedure was 63.5 18.1 min while the duration for distal locking was 6.6 +/- 2.6 min. In all successful cases, exposure from intraoperative fluoroscopy was 17.2 +/- 7.4 s for the whole operative procedure, and for distal locking was 2 shots, 1.35 s (range, 0.9-2.2 s) and 1.9 mGy (range, 1.1-2.9 mGy). Five cases (3.9%) were unsuccessful, but overall no intraoperative complications were encountered from the application of this technique. The ability of the device to correspond to the level of nail deformation and to properly identify the distal holes, reduced exposure to radiation compared to other published reports, and should be considered as a valuable tool for distal locking of femoral fractures. |
| Databáze: | OpenAIRE |
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