Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2003-11-24
pubmed:abstractText
The aim of this study was to directly compare mechanically based targetting and surgical navigation when applied for percutaneous osteosynthesis. The distal locking procedure of intramedullary nails was used as the clinical model for a controlled prospective study. A total of 50 patients were included in two groups. In group 1, the distal locking was done with a mechanical aiming device while in group 2 this was done using a fluoroscopy based surgical navigation system. The target parameters were the precision attained, the necessary operation and fluoroscopy times as well as the number and severity of intra-operative problems. The drill-bit failed to pass through the interlocking hole in one patient with mechanical guidance and in two patients with surgical navigation. The average procedure time for distal locking with mechanical guidance was 6.9 minutes compared with 37.6 minutes with surgical navigation. An additional 44 minutes were required before skin incision and after skin closure as setup time for the navigation system. There was no significant difference in the fluoroscopy time or in the number of intra-operative technical problems. Surgical navigation increased the demand for resources but failed to improve the precision of distal locking compared with mechanical guidance. Further clinical studies are required to determine to what degree these results, using a special model, relate to other applications.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0177-5537
pubmed:author
pubmed:issnType
Print
pubmed:volume
106
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
921-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14634735-Aged, pubmed-meshheading:14634735-Aged, 80 and over, pubmed-meshheading:14634735-Equipment Design, pubmed-meshheading:14634735-Equipment Failure, pubmed-meshheading:14634735-Female, pubmed-meshheading:14634735-Fluoroscopy, pubmed-meshheading:14634735-Fracture Fixation, Intramedullary, pubmed-meshheading:14634735-Hip Fractures, pubmed-meshheading:14634735-Humans, pubmed-meshheading:14634735-Image Processing, Computer-Assisted, pubmed-meshheading:14634735-Imaging, Three-Dimensional, pubmed-meshheading:14634735-Male, pubmed-meshheading:14634735-Mathematical Computing, pubmed-meshheading:14634735-Prospective Studies, pubmed-meshheading:14634735-Reproducibility of Results, pubmed-meshheading:14634735-Surgery, Computer-Assisted, pubmed-meshheading:14634735-Technology Assessment, Biomedical
pubmed:year
2003
pubmed:articleTitle
[Fluoroscopy based surgical navitation vs. mechanical guidance system for percutaneous interventions. A controlled prospective study exemplified by distal locking of intramedullary nails].
pubmed:affiliation
Département Chirurgie, Kantonsspital Basel-Universitätskliniken, Basel, Schweiz. nsuhm@web.de
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, English Abstract, Controlled Clinical Trial, Research Support, Non-U.S. Gov't