Harefuah · 2025
[INCORPORATING INTRAOPERATIVE DIGITALIZATION SOFTWARE IN ORTHOPEDIC TRAUMA: REDUCING OPERATIVE TIME IN PERTROCHANTERIC FRACTURE FIXATION].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Feldman Guy, Bandel Nadav, Mosheiff Ram, Davidson Amit, Weil Yoram, Jamal Mahmoud, Rozen Nimrod, Libergall Meir
Аннотация
INTRODUCTION: Integration of an intraoperative digitalization tool aims to improve daily work in the operating room by improving communication between staff members, patient safety and creating a database for future research.
AIMS: To evaluate the effect of intraoperative digitalization tools on total operative time, procedure standardization and fluoroscopy use.
METHODS: This retrospective study examined patients with pertrochanteric fracture, treated with closed reduction and internal fixation with a short cephalomedullary nail using the Proximal Femoral Nailing System (TFNA). The surgical protocol was displayed on a screen and controlled by a foot pedal. The data collected included the total surgical time and the amount of radiation emitted in millisievert (mSv). The cases were divided into four groups in a chronological fashion according to yearly quarters. The total operative time was compared to the literature.
RESULTS: Sixty operations were performed, forty-four by competent surgeons and 16 by expert surgeons. The average procedure time was 59.66 minutes. A decrease in operative time was observed for all surgeons (reduction of 2.27 minutes per month, p=0.0232, and reduction of 1.71 minutes per month, p=0.0093, for expert and competent surgeons, respectively). No difference was observed after standardization (p=0.201). Average operative time of group 4, which included the cases operated during the latest period (n=15) was 42.37 minutes, below the value accepted in the literature of 60.62 minutes (p=0.00117). Fluoroscopy use averaged 7.14 mSv, showing no change (p=0.414).
CONCLUSIONS: Although digitalization led to decreased operative time, no improvement was observed after standardization. This was attributed to the small sample size.
DISCUSSION: Implementation of an intraoperative digitalization tool showed reduction in operative time for all surgeons, with no reduction in the use of fluoroscopy.
AIMS: To evaluate the effect of intraoperative digitalization tools on total operative time, procedure standardization and fluoroscopy use.
METHODS: This retrospective study examined patients with pertrochanteric fracture, treated with closed reduction and internal fixation with a short cephalomedullary nail using the Proximal Femoral Nailing System (TFNA). The surgical protocol was displayed on a screen and controlled by a foot pedal. The data collected included the total surgical time and the amount of radiation emitted in millisievert (mSv). The cases were divided into four groups in a chronological fashion according to yearly quarters. The total operative time was compared to the literature.
RESULTS: Sixty operations were performed, forty-four by competent surgeons and 16 by expert surgeons. The average procedure time was 59.66 minutes. A decrease in operative time was observed for all surgeons (reduction of 2.27 minutes per month, p=0.0232, and reduction of 1.71 minutes per month, p=0.0093, for expert and competent surgeons, respectively). No difference was observed after standardization (p=0.201). Average operative time of group 4, which included the cases operated during the latest period (n=15) was 42.37 minutes, below the value accepted in the literature of 60.62 minutes (p=0.00117). Fluoroscopy use averaged 7.14 mSv, showing no change (p=0.414).
CONCLUSIONS: Although digitalization led to decreased operative time, no improvement was observed after standardization. This was attributed to the small sample size.
DISCUSSION: Implementation of an intraoperative digitalization tool showed reduction in operative time for all surgeons, with no reduction in the use of fluoroscopy.