Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling
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Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling. / Hoffmann, Michael; Hartel, Maximilian; Schroeder, Malte; Reinsch, Oliver; Spiro, Alexander S; Ruecker, Andreas H; Grossterlinden, Lars; Briem, Daniel; Rueger, Johannes M; Petersen, Jan Phillip.
in: KNEE SURG SPORT TR A, 17.07.2013.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling
AU - Hoffmann, Michael
AU - Hartel, Maximilian
AU - Schroeder, Malte
AU - Reinsch, Oliver
AU - Spiro, Alexander S
AU - Ruecker, Andreas H
AU - Grossterlinden, Lars
AU - Briem, Daniel
AU - Rueger, Johannes M
AU - Petersen, Jan Phillip
PY - 2013/7/17
Y1 - 2013/7/17
N2 - PURPOSE: A novel radiation-free electromagnetic navigation system (ENS)-based method was developed, and its feasibility and accuracy for transclavicular-transcoracoid drilling procedures were evaluated in an experimental setting.METHODS: Sixteen arthroscopically assisted electromagnetic navigated transcoracoid-transclavicular drilling procedures with subsequent TightRope(®) device implantation were performed on eight human cadavers. Post-operative fluoroscopy and CT-scan analysis were acquired to determine tunnel placement accuracy. Optimal tunnel placement was defined as both the coracoid entry and exit point of the tunnel localized in the centre position of the coracoid base without cortical breach or fracture.RESULTS: Successful tunnel placement was accomplished in all 16 cases. The mean overall operation time was 30.3 ± 5.0 min. Regarding the coracoid exit point, 15 of 16 tunnels (93.8 %) were localized in the desired base-centre position. During the navigated drilling procedure, no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breach, no fractures and no complications occurred.CONCLUSIONS: The electromagnetically navigated transcoracoid-transclavicular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative radiographs, was associated with no complications and provided user-friendliness.
AB - PURPOSE: A novel radiation-free electromagnetic navigation system (ENS)-based method was developed, and its feasibility and accuracy for transclavicular-transcoracoid drilling procedures were evaluated in an experimental setting.METHODS: Sixteen arthroscopically assisted electromagnetic navigated transcoracoid-transclavicular drilling procedures with subsequent TightRope(®) device implantation were performed on eight human cadavers. Post-operative fluoroscopy and CT-scan analysis were acquired to determine tunnel placement accuracy. Optimal tunnel placement was defined as both the coracoid entry and exit point of the tunnel localized in the centre position of the coracoid base without cortical breach or fracture.RESULTS: Successful tunnel placement was accomplished in all 16 cases. The mean overall operation time was 30.3 ± 5.0 min. Regarding the coracoid exit point, 15 of 16 tunnels (93.8 %) were localized in the desired base-centre position. During the navigated drilling procedure, no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breach, no fractures and no complications occurred.CONCLUSIONS: The electromagnetically navigated transcoracoid-transclavicular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative radiographs, was associated with no complications and provided user-friendliness.
U2 - 10.1007/s00167-013-2607-8
DO - 10.1007/s00167-013-2607-8
M3 - SCORING: Journal article
C2 - 23860864
JO - KNEE SURG SPORT TR A
JF - KNEE SURG SPORT TR A
SN - 0942-2056
ER -