Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)
OBJECTIVES:Recently, radiation-independent aiming devices for the tibia that compensate for insertion-related implant deformation have been developed, but the benefits of such systems have not been determined. This study prospectively evaluated the duration of the nailing procedure, the length of ra...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1998-08, Vol.12 (6), p.373-378 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Krettek, Christian Könemann, Bernd Farouk, Osama Miclau, Theodore Kromm, Alexander Tscherne, Harald |
| description | OBJECTIVES:Recently, radiation-independent aiming devices for the tibia that compensate for insertion-related implant deformation have been developed, but the benefits of such systems have not been determined. This study prospectively evaluated the duration of the nailing procedure, the length of radiation time, and the accuracy of interlocking screw placement when using a radiation-independent distal aiming device (DAD) versus the freehand technique (FHT).
MATERIALS AND METHODS:In an oblique cadaveric tibial fracture, a surgeon inexperienced in both techniques (DAD and FHT) performed statically locked intramedullary nailing.
RESULTS:For the DAD and the FHT, respectively, the total operation time was 25.4 ± 11.3 (mean ± standard deviation) versus 30.9 ± 14.3 minutes (p = 0.029), the distal locking time was 16.7 ± 8.6 versus 21.9 ± 10.5 minutes (p = 0.004), the total fluoroscopy time was 9 ± 5 versus 93 ± 34 seconds (p < 0.0001), the distal locking fluoroscopy time was zero versus 88 ± 33 seconds (p < 0.0001), and the screw wear was −0.7 ± 5.2 versus 26.8 ± 31.6 micrometers (p = 0.001). The failure rate was 1.6 percent (one of sixty screws) in both groups.
CONCLUSION:These results suggest that the DAD can eliminate the need for radiation during placement of distal interlocking screws. |
| doi_str_mv | 10.1097/00005131-199808000-00001 |
| format | Article |
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MATERIALS AND METHODS:In an oblique cadaveric tibial fracture, a surgeon inexperienced in both techniques (DAD and FHT) performed statically locked intramedullary nailing.
RESULTS:For the DAD and the FHT, respectively, the total operation time was 25.4 ± 11.3 (mean ± standard deviation) versus 30.9 ± 14.3 minutes (p = 0.029), the distal locking time was 16.7 ± 8.6 versus 21.9 ± 10.5 minutes (p = 0.004), the total fluoroscopy time was 9 ± 5 versus 93 ± 34 seconds (p < 0.0001), the distal locking fluoroscopy time was zero versus 88 ± 33 seconds (p < 0.0001), and the screw wear was −0.7 ± 5.2 versus 26.8 ± 31.6 micrometers (p = 0.001). The failure rate was 1.6 percent (one of sixty screws) in both groups.
CONCLUSION:These results suggest that the DAD can eliminate the need for radiation during placement of distal interlocking screws.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199808000-00001</identifier><identifier>PMID: 9715442</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bone Nails ; Cadaver ; Chi-Square Distribution ; Fracture Fixation, Intramedullary - instrumentation ; Fracture Fixation, Intramedullary - methods ; Humans ; Medical sciences ; Middle Aged ; Monitoring, Intraoperative - methods ; Prospective Studies ; Radiation Protection - methods ; Radiography ; Random Allocation ; Sensitivity and Specificity ; Statistics, Nonparametric ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Instruments ; Technology. Biomaterials. Equipments ; Tibial Fractures - diagnostic imaging ; Tibial Fractures - surgery</subject><ispartof>Journal of orthopaedic trauma, 1998-08, Vol.12 (6), p.373-378</ispartof><rights>Lippincott-Raven Publishers</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4791-36dac049887a58e5fb91f78456c9aae6d58848212c0def2ef10d4a68387075ed3</citedby><cites>FETCH-LOGICAL-c4791-36dac049887a58e5fb91f78456c9aae6d58848212c0def2ef10d4a68387075ed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2353527$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9715442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krettek, Christian</creatorcontrib><creatorcontrib>Könemann, Bernd</creatorcontrib><creatorcontrib>Farouk, Osama</creatorcontrib><creatorcontrib>Miclau, Theodore</creatorcontrib><creatorcontrib>Kromm, Alexander</creatorcontrib><creatorcontrib>Tscherne, Harald</creatorcontrib><title>Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>OBJECTIVES:Recently, radiation-independent aiming devices for the tibia that compensate for insertion-related implant deformation have been developed, but the benefits of such systems have not been determined. This study prospectively evaluated the duration of the nailing procedure, the length of radiation time, and the accuracy of interlocking screw placement when using a radiation-independent distal aiming device (DAD) versus the freehand technique (FHT).
MATERIALS AND METHODS:In an oblique cadaveric tibial fracture, a surgeon inexperienced in both techniques (DAD and FHT) performed statically locked intramedullary nailing.
RESULTS:For the DAD and the FHT, respectively, the total operation time was 25.4 ± 11.3 (mean ± standard deviation) versus 30.9 ± 14.3 minutes (p = 0.029), the distal locking time was 16.7 ± 8.6 versus 21.9 ± 10.5 minutes (p = 0.004), the total fluoroscopy time was 9 ± 5 versus 93 ± 34 seconds (p < 0.0001), the distal locking fluoroscopy time was zero versus 88 ± 33 seconds (p < 0.0001), and the screw wear was −0.7 ± 5.2 versus 26.8 ± 31.6 micrometers (p = 0.001). The failure rate was 1.6 percent (one of sixty screws) in both groups.
CONCLUSION:These results suggest that the DAD can eliminate the need for radiation during placement of distal interlocking screws.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bone Nails</subject><subject>Cadaver</subject><subject>Chi-Square Distribution</subject><subject>Fracture Fixation, Intramedullary - instrumentation</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Prospective Studies</subject><subject>Radiation Protection - methods</subject><subject>Radiography</subject><subject>Random Allocation</subject><subject>Sensitivity and Specificity</subject><subject>Statistics, Nonparametric</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Instruments</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - surgery</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctOGzEUhq2qCFLoIyB5waIspvgyztjsIkJKJEQlSLsdOfYZYnA8qT1Tymv0ieshIbt6Yev8l7P4jBCm5Cslqrog-QjKaUGVkkTmqRgk-gGNqMgyY4p-RCMiFSkE5-oIfUrpKSckYewQHaqKirJkI_T3-s8GoltD6LTHD11vX3Hb4KlLwzwPHUTfmmcXHgdZ44fWO4sXbumyfaedv8T32jrduTYU82BhA_kK3fuGiVsP3Sn8dgbwl-lkeo5_Qkx9wrMIsNIhbwOzCu5Xn_3ZzeL8BB002if4vHuP0Y_Z9eLqprj9_m1-NbktTFkpWvCx1YaUSspKCwmiWSraVLIUY6O0hrEVUpaSUWaIhYZBQ4kt9VhyWZFKgOXHSG73mtimFKGpNxmEjq81JfVAuX6nXO8pv0k0V0-31U2_XIPdF3dYs3-283Uy2jdRB-PSPsa44IJVOVZuYy-tz6DTs-9fINYr0L5b1f_7Y_4P_lKTog</recordid><startdate>199808</startdate><enddate>199808</enddate><creator>Krettek, Christian</creator><creator>Könemann, Bernd</creator><creator>Farouk, Osama</creator><creator>Miclau, Theodore</creator><creator>Kromm, Alexander</creator><creator>Tscherne, Harald</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>199808</creationdate><title>Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)</title><author>Krettek, Christian ; Könemann, Bernd ; Farouk, Osama ; Miclau, Theodore ; Kromm, Alexander ; Tscherne, Harald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4791-36dac049887a58e5fb91f78456c9aae6d58848212c0def2ef10d4a68387075ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bone Nails</topic><topic>Cadaver</topic><topic>Chi-Square Distribution</topic><topic>Fracture Fixation, Intramedullary - instrumentation</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Prospective Studies</topic><topic>Radiation Protection - methods</topic><topic>Radiography</topic><topic>Random Allocation</topic><topic>Sensitivity and Specificity</topic><topic>Statistics, Nonparametric</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Instruments</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krettek, Christian</creatorcontrib><creatorcontrib>Könemann, Bernd</creatorcontrib><creatorcontrib>Farouk, Osama</creatorcontrib><creatorcontrib>Miclau, Theodore</creatorcontrib><creatorcontrib>Kromm, Alexander</creatorcontrib><creatorcontrib>Tscherne, Harald</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krettek, Christian</au><au>Könemann, Bernd</au><au>Farouk, Osama</au><au>Miclau, Theodore</au><au>Kromm, Alexander</au><au>Tscherne, Harald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT)</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1998-08</date><risdate>1998</risdate><volume>12</volume><issue>6</issue><spage>373</spage><epage>378</epage><pages>373-378</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>OBJECTIVES:Recently, radiation-independent aiming devices for the tibia that compensate for insertion-related implant deformation have been developed, but the benefits of such systems have not been determined. This study prospectively evaluated the duration of the nailing procedure, the length of radiation time, and the accuracy of interlocking screw placement when using a radiation-independent distal aiming device (DAD) versus the freehand technique (FHT).
MATERIALS AND METHODS:In an oblique cadaveric tibial fracture, a surgeon inexperienced in both techniques (DAD and FHT) performed statically locked intramedullary nailing.
RESULTS:For the DAD and the FHT, respectively, the total operation time was 25.4 ± 11.3 (mean ± standard deviation) versus 30.9 ± 14.3 minutes (p = 0.029), the distal locking time was 16.7 ± 8.6 versus 21.9 ± 10.5 minutes (p = 0.004), the total fluoroscopy time was 9 ± 5 versus 93 ± 34 seconds (p < 0.0001), the distal locking fluoroscopy time was zero versus 88 ± 33 seconds (p < 0.0001), and the screw wear was −0.7 ± 5.2 versus 26.8 ± 31.6 micrometers (p = 0.001). The failure rate was 1.6 percent (one of sixty screws) in both groups.
CONCLUSION:These results suggest that the DAD can eliminate the need for radiation during placement of distal interlocking screws.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>9715442</pmid><doi>10.1097/00005131-199808000-00001</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Bone Nails Cadaver Chi-Square Distribution Fracture Fixation, Intramedullary - instrumentation Fracture Fixation, Intramedullary - methods Humans Medical sciences Middle Aged Monitoring, Intraoperative - methods Prospective Studies Radiation Protection - methods Radiography Random Allocation Sensitivity and Specificity Statistics, Nonparametric Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Instruments Technology. Biomaterials. Equipments Tibial Fractures - diagnostic imaging Tibial Fractures - surgery |
| title | Experimental Study of Distal Interlocking of a Solid Tibial Nail: Radiation-Independent Distal Aiming Device (DAD) Versus Freehand Technique (FHT) |
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