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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -