Does the magnetic-guided intramedullary nailing technique shorten operation time and radiation exposure?

Autor: Tughan Kalkan, Mahmut Nedim Aytekin, İsmail Çelik, Muhsin Dursun, Mahmut Uğurlu
Rok vydání: 2013
Předmět:
Zdroj: European Journal of Orthopaedic Surgery & Traumatology. 24:1005-1011
ISSN: 1432-1068
1633-8065
Popis: The aim of this study is to show whether a new magnetic-guided locking technique is superior to a standard freehand technique in terms of operation time and radiation exposure. This treatment will be used for distal locking of the tibia during intramedullary nailing. This randomized trial is done through 80 patients having tibial fractures with a mean age of 25 years (range 16–67 years). In the magnetic locking group, there were 20 fractures of the distal third, 16 of the shaft, and 4 of the proximal tibia; in the freehand group, these numbers were 15, 20, and 5, respectively. The parameters like operation time, distal locking time, radiation exposure duration, and dose were compared. We placed 100 distal locking screws in the magnetic locking group and 95 in the freehand group. Fluoroscopy was necessary only in the freehand group. All screws were correctly positioned the first time in both groups. The magnetic locking group had a shorter mean surgical time (52 ± 6.2 vs 70 ± 10.9 min; P
Databáze: OpenAIRE