The comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implants

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dc.contributor.authorUruc, Vedat
dc.contributor.authorOzden, Raif
dc.contributor.authorDogramaci, Yunus
dc.contributor.authorKalacı, Aydıner
dc.contributor.authorDikmen, Besir
dc.contributor.authorYildiz, Omer Serkan
dc.contributor.authorYengil, Erhan
dc.date.accessioned2024-09-18T20:28:02Z
dc.date.available2024-09-18T20:28:02Z
dc.date.issued2013
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction: In locking intramedullary nails, the most important problem is to put the distal interlocking screw accurately and quickly with minimum radiation exposure. The purpose of this clinical study was to compare the fluoroscopic time and surgical time required for distal locking with either free-hand fluoroscopic guidance or with an electromagnetic navigation system. Materials and methods: The study comprised 54 patients with 58 fractures of the lower extremity. The patients were divided in two groups: distal locking with freehand fluoroscopic guidance (group I) and distal locking with electromagnetic navigation (group II). The primary outcome in this study was fluoroscopy time. The secondary outcome was the operative time in distal interlocking. Results: In group I, the mean operation time was 108 (81-135) min, the mean time for distal interlocking was 18.35 (9-27) min, the total fluoroscopy time was 47.77 (19-74) s, the mean fluoroscopy time during distal interlocking was 18.29 (2-29) s and the mean attempt at number of distal locking for two screws was 9.96 (2-18) times. In group II, the mean operation time was 80.96 (63-100) min, the mean time for distal interlocking was 7.85 (6.5-10) min, the total fluoroscopy time was 22.59 (15-32) s, the mean fluoroscopy time during distal interlocking was 1.62 (0-2) s and the mean attempt number of distal interlocking was 2 (2-2). Conclusion: Fluoroscopy time to achieve equivalent precision is significantly reduced with electromagnetism-based surgical navigation compared with free hand fluoroscopic guidance. Also the operative time is significantly reduced with electromagnetic based navigation. (c) 2012 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2012.12.009
dc.identifier.endpage866en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue6en_US
dc.identifier.pmid23298756en_US
dc.identifier.scopus2-s2.0-84877752797en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage863en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2012.12.009
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10692
dc.identifier.volume44en_US
dc.identifier.wosWOS:000318991000027en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal of The Care of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectIntramedullary nailingen_US
dc.subjectFluoroscopyen_US
dc.subjectElectromagnetic guidanceen_US
dc.titleThe comparison of freehand fluoroscopic guidance and electromagnetic navigation for distal locking of intramedullary implantsen_US
dc.typeArticleen_US

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