Targeting device for intramedullary nails: A new high-stable mechanical guide
Summary One of the most demanding steps of an intramedullary nailing is the distal locking. The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by...
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| Veröffentlicht in: | Injury 2008-02, Vol.39 (2), p.170-175 |
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| creator | Arlettaz, Y Akiki, A Chevalley, F Leyvraz, P.F |
| description | Summary One of the most demanding steps of an intramedullary nailing is the distal locking. The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by two different surgeons who were instructed on using the new device. Reduction of the fracture, intramedullary nailing and proximal locking are performed according to standard procedures. Then the new targeting device is used for distal locking. Evaluations are focused on the time it takes to perform the distal locking, the duration of the irradiation exposure and the duration of the complete procedure. In terms of duration, our results are comparable to those reported in the literature but this new device has more advantages than any other system. This new device is fully mechanical and is solidly linked to the patient. It can be used with any existing radioscopic equipment in any hospital. The guide is manually adjustable out of the X-ray field avoiding the surgeon being irradiated. The procedure is easy to learn and reproducible. |
| doi_str_mv | 10.1016/j.injury.2007.06.006 |
| format | Article |
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The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by two different surgeons who were instructed on using the new device. Reduction of the fracture, intramedullary nailing and proximal locking are performed according to standard procedures. Then the new targeting device is used for distal locking. Evaluations are focused on the time it takes to perform the distal locking, the duration of the irradiation exposure and the duration of the complete procedure. In terms of duration, our results are comparable to those reported in the literature but this new device has more advantages than any other system. This new device is fully mechanical and is solidly linked to the patient. It can be used with any existing radioscopic equipment in any hospital. The guide is manually adjustable out of the X-ray field avoiding the surgeon being irradiated. The procedure is easy to learn and reproducible.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2007.06.006</identifier><identifier>PMID: 17884055</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Biological and medical sciences ; Bone Nails ; Bone Screws ; Diseases of the osteoarticular system ; Equipment Design ; Female ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - surgery ; Femur ; Fracture ; Fracture Fixation, Intramedullary - instrumentation ; Fracture Fixation, Intramedullary - methods ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Intramedullary ; Irradiation exposure ; Locking screws ; Male ; Medical sciences ; Middle Aged ; Nail ; Orthopedic surgery ; Orthopedics ; Prospective Studies ; Radiography ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Targeting ; Tibia ; Tibial Fractures - diagnostic imaging ; Tibial Fractures - surgery ; Time Factors ; Traumas. Diseases due to physical agents</subject><ispartof>Injury, 2008-02, Vol.39 (2), p.170-175</ispartof><rights>Elsevier Ltd</rights><rights>2007 Elsevier Ltd</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-5159ae40712a87505f0d4ec4a7ebbf664cf3654b92c3c4fd645f584c1d0f50f83</citedby><cites>FETCH-LOGICAL-c445t-5159ae40712a87505f0d4ec4a7ebbf664cf3654b92c3c4fd645f584c1d0f50f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020138307002409$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20082308$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17884055$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arlettaz, Y</creatorcontrib><creatorcontrib>Akiki, A</creatorcontrib><creatorcontrib>Chevalley, F</creatorcontrib><creatorcontrib>Leyvraz, P.F</creatorcontrib><title>Targeting device for intramedullary nails: A new high-stable mechanical guide</title><title>Injury</title><addtitle>Injury</addtitle><description>Summary One of the most demanding steps of an intramedullary nailing is the distal locking. The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by two different surgeons who were instructed on using the new device. Reduction of the fracture, intramedullary nailing and proximal locking are performed according to standard procedures. Then the new targeting device is used for distal locking. Evaluations are focused on the time it takes to perform the distal locking, the duration of the irradiation exposure and the duration of the complete procedure. In terms of duration, our results are comparable to those reported in the literature but this new device has more advantages than any other system. This new device is fully mechanical and is solidly linked to the patient. It can be used with any existing radioscopic equipment in any hospital. The guide is manually adjustable out of the X-ray field avoiding the surgeon being irradiated. The procedure is easy to learn and reproducible.</description><subject>Biological and medical sciences</subject><subject>Bone Nails</subject><subject>Bone Screws</subject><subject>Diseases of the osteoarticular system</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - surgery</subject><subject>Femur</subject><subject>Fracture</subject><subject>Fracture Fixation, Intramedullary - instrumentation</subject><subject>Fracture Fixation, Intramedullary - methods</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Intramedullary</subject><subject>Irradiation exposure</subject><subject>Locking screws</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nail</subject><subject>Orthopedic surgery</subject><subject>Orthopedics</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Targeting</subject><subject>Tibia</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - surgery</subject><subject>Time Factors</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcuO1DAQRS0EYpqBP0DIG9gllONXmgXSaMRLGsSCYW05TrnbIe0MdjKo_x6HboHEhpW9OHV16xQhzxnUDJh6PdQhDks61g2ArkHVAOoB2bBWbytolH5INgANVIy3_II8yXkAYBo4f0wumG5bAVJuyOdbm3Y4h7ijPd4Hh9RPiYY4J3vAfhlHm4402jDmN_SKRvxJ92G3r_JsuxHpAd3exuDsSHdL6PEpeeTtmPHZ-b0k396_u73-WN18-fDp-uqmckLIuZJMbi0K0KyxrZYgPfQCnbAau84rJZznSopu2zjuhO-VkF62wrEevATf8kvy6pR7l6YfC-bZHEJ2WNpGnJZsNDRaaCkKKE6gS1POCb25S-FQdjIMzKrRDOak0awaDShTNJaxF-f8pSsa_g6dvRXg5RmwuWzvk40u5D9cyWobDmvRtycOi437gMlkFzA67ENCN5t-Cv9r8m-AG8Nv49_xiHmYlhSLacNMbgyYr-vJ14uDLj8BW_4LSZanIg</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Arlettaz, Y</creator><creator>Akiki, A</creator><creator>Chevalley, F</creator><creator>Leyvraz, P.F</creator><general>Elsevier Ltd</general><general>Elsevier</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><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Targeting device for intramedullary nails: A new high-stable mechanical guide</title><author>Arlettaz, Y ; Akiki, A ; Chevalley, F ; Leyvraz, P.F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-5159ae40712a87505f0d4ec4a7ebbf664cf3654b92c3c4fd645f584c1d0f50f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Biological and medical sciences</topic><topic>Bone Nails</topic><topic>Bone Screws</topic><topic>Diseases of the osteoarticular system</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Femoral Fractures - diagnostic imaging</topic><topic>Femoral Fractures - surgery</topic><topic>Femur</topic><topic>Fracture</topic><topic>Fracture Fixation, Intramedullary - instrumentation</topic><topic>Fracture Fixation, Intramedullary - methods</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Intramedullary</topic><topic>Irradiation exposure</topic><topic>Locking screws</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nail</topic><topic>Orthopedic surgery</topic><topic>Orthopedics</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Targeting</topic><topic>Tibia</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - surgery</topic><topic>Time Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arlettaz, Y</creatorcontrib><creatorcontrib>Akiki, A</creatorcontrib><creatorcontrib>Chevalley, F</creatorcontrib><creatorcontrib>Leyvraz, P.F</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><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arlettaz, Y</au><au>Akiki, A</au><au>Chevalley, F</au><au>Leyvraz, P.F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeting device for intramedullary nails: A new high-stable mechanical guide</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>39</volume><issue>2</issue><spage>170</spage><epage>175</epage><pages>170-175</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>Summary One of the most demanding steps of an intramedullary nailing is the distal locking. The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by two different surgeons who were instructed on using the new device. Reduction of the fracture, intramedullary nailing and proximal locking are performed according to standard procedures. Then the new targeting device is used for distal locking. Evaluations are focused on the time it takes to perform the distal locking, the duration of the irradiation exposure and the duration of the complete procedure. In terms of duration, our results are comparable to those reported in the literature but this new device has more advantages than any other system. This new device is fully mechanical and is solidly linked to the patient. It can be used with any existing radioscopic equipment in any hospital. The guide is manually adjustable out of the X-ray field avoiding the surgeon being irradiated. The procedure is easy to learn and reproducible.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>17884055</pmid><doi>10.1016/j.injury.2007.06.006</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Bone Nails Bone Screws Diseases of the osteoarticular system Equipment Design Female Femoral Fractures - diagnostic imaging Femoral Fractures - surgery Femur Fracture Fracture Fixation, Intramedullary - instrumentation Fracture Fixation, Intramedullary - methods Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Injuries of the limb. Injuries of the spine Intramedullary Irradiation exposure Locking screws Male Medical sciences Middle Aged Nail Orthopedic surgery Orthopedics Prospective Studies Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Targeting Tibia Tibial Fractures - diagnostic imaging Tibial Fractures - surgery Time Factors Traumas. Diseases due to physical agents |
| title | Targeting device for intramedullary nails: A new high-stable mechanical guide |
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