European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2010
Computer-assisted Femur Fracture Reduction.
СтатьяНазвание и аннотация: Перевод в очереди
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Frank Johannes, Gritzbach Bernd, Winter Christian, Maier Bernd, Marzi Ingo
Аннотация
INTRODUCTION: When using intramedullary nailing of femur fractures false axis alignment or malrotation is the greatest deterrent to successful reduction often causing extended x-ray exposure and the need to revert to an open procedure. The aim of this study was to demonstrate the advantages of using a trauma navigation system during intramedullary nailing of femur fractures.
MATERIALS AND METHODS: A fluoroscopic navigation unit was used and successful closed fracture reduction, x-ray exposure, and operation time were measured. Between 2004 and 2007 19 patients receiving intramedullary nailing of femur fractures using a Stryker trauma navigation system were included in the study. The results were compared to 10 conventionally operated femur fractures between 2003 and 2006.
RESULTS: The study demonstrated an important reduction of radiation time and less needs for reverting to open reduction.
CONCLUSION: Based on these findings we conclude that the use of a trauma navigation system during fracture reduction has clear advantages. These are based primarily on its ability to provide 3-dimensional viewing of the fracture during the reduction procedure. This eliminates the need for multiple positioning adjustments of the x-ray C-arm from horizontal to vertical for better viewing and in doing so reduced radiation time and needs for open reduction.
MATERIALS AND METHODS: A fluoroscopic navigation unit was used and successful closed fracture reduction, x-ray exposure, and operation time were measured. Between 2004 and 2007 19 patients receiving intramedullary nailing of femur fractures using a Stryker trauma navigation system were included in the study. The results were compared to 10 conventionally operated femur fractures between 2003 and 2006.
RESULTS: The study demonstrated an important reduction of radiation time and less needs for reverting to open reduction.
CONCLUSION: Based on these findings we conclude that the use of a trauma navigation system during fracture reduction has clear advantages. These are based primarily on its ability to provide 3-dimensional viewing of the fracture during the reduction procedure. This eliminates the need for multiple positioning adjustments of the x-ray C-arm from horizontal to vertical for better viewing and in doing so reduced radiation time and needs for open reduction.