Neue Horizonte zur minimal-invasiven Versorgung von Akromioklavikulargelenkverletzungen

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Neue Horizonte zur minimal-invasiven Versorgung von Akromioklavikulargelenkverletzungen. / Hoffmann, Michael; Petersen, J P; Rueger, J M; Schroeder, Malte.

In: UNFALLCHIRURG, Vol. 118, No. 1, 01.2015, p. 29-34.

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@article{378b153b2f8d4a4aa1305baecf128000,
title = "Neue Horizonte zur minimal-invasiven Versorgung von Akromioklavikulargelenkverletzungen",
abstract = "BACKGROUND: A novel radiation-free electromagnetic navigation system (ENS) method was developed and the feasibility and accuracy for transklavikular-transkorakoid drilling procedures were evaluated in an experimental setting.METHODS: In this study ten arthroscopically assisted, electromagnetically navigated transkorakoid-transklavikular drilling procedures with subsequent implantation of two TightRope{\textregistered} (Arthrex, Naples, FL.) devices (anatomical reconstruction) were performed on five human cadavers. Postoperative computed tomography (CT) scan analysis was carried out to determine tunnel placement accuracy. All procedures were performed without fluoroscopy.RESULTS: The mean overall operation time was 28.5 ± 6.6 min. Successful anatomical tunnel placement was achieved in 98.8 %. During the navigated drilling procedure no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breaches, fractures or complications occurred.CONCLUSION: The electromagnetically navigated transkorakoid-transklavikular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative x-ray radiation and was associated with no complications.",
keywords = "Acromioclavicular Joint, Cadaver, Equipment Design, Equipment Failure Analysis, Female, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures, Osteotomy, Reproducibility of Results, Sensitivity and Specificity, Treatment Outcome",
author = "Michael Hoffmann and Petersen, {J P} and Rueger, {J M} and Malte Schroeder",
year = "2015",
month = jan,
doi = "10.1007/s00113-013-2546-3",
language = "Deutsch",
volume = "118",
pages = "29--34",
journal = "UNFALLCHIRURGIE",
issn = "0177-5537",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Neue Horizonte zur minimal-invasiven Versorgung von Akromioklavikulargelenkverletzungen

AU - Hoffmann, Michael

AU - Petersen, J P

AU - Rueger, J M

AU - Schroeder, Malte

PY - 2015/1

Y1 - 2015/1

N2 - BACKGROUND: A novel radiation-free electromagnetic navigation system (ENS) method was developed and the feasibility and accuracy for transklavikular-transkorakoid drilling procedures were evaluated in an experimental setting.METHODS: In this study ten arthroscopically assisted, electromagnetically navigated transkorakoid-transklavikular drilling procedures with subsequent implantation of two TightRope® (Arthrex, Naples, FL.) devices (anatomical reconstruction) were performed on five human cadavers. Postoperative computed tomography (CT) scan analysis was carried out to determine tunnel placement accuracy. All procedures were performed without fluoroscopy.RESULTS: The mean overall operation time was 28.5 ± 6.6 min. Successful anatomical tunnel placement was achieved in 98.8 %. During the navigated drilling procedure no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breaches, fractures or complications occurred.CONCLUSION: The electromagnetically navigated transkorakoid-transklavikular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative x-ray radiation and was associated with no complications.

AB - BACKGROUND: A novel radiation-free electromagnetic navigation system (ENS) method was developed and the feasibility and accuracy for transklavikular-transkorakoid drilling procedures were evaluated in an experimental setting.METHODS: In this study ten arthroscopically assisted, electromagnetically navigated transkorakoid-transklavikular drilling procedures with subsequent implantation of two TightRope® (Arthrex, Naples, FL.) devices (anatomical reconstruction) were performed on five human cadavers. Postoperative computed tomography (CT) scan analysis was carried out to determine tunnel placement accuracy. All procedures were performed without fluoroscopy.RESULTS: The mean overall operation time was 28.5 ± 6.6 min. Successful anatomical tunnel placement was achieved in 98.8 %. During the navigated drilling procedure no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breaches, fractures or complications occurred.CONCLUSION: The electromagnetically navigated transkorakoid-transklavikular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative x-ray radiation and was associated with no complications.

KW - Acromioclavicular Joint

KW - Cadaver

KW - Equipment Design

KW - Equipment Failure Analysis

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Minimally Invasive Surgical Procedures

KW - Osteotomy

KW - Reproducibility of Results

KW - Sensitivity and Specificity

KW - Treatment Outcome

U2 - 10.1007/s00113-013-2546-3

DO - 10.1007/s00113-013-2546-3

M3 - SCORING: Zeitschriftenaufsatz

C2 - 25277728

VL - 118

SP - 29

EP - 34

JO - UNFALLCHIRURGIE

JF - UNFALLCHIRURGIE

SN - 0177-5537

IS - 1

ER -