Volume 9, Issue 4 (11-2022)
JROS 2022, 9(4): 201-208 |
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Nabian M H, komijani M, Sharafi M H, Shayan-Moghadam R, Mehrabi Y, Babaei Nejad E. Comparing Conventional C-arm and Navigation Methods for Distal Küntscher Screw Insertion in Femur and Tibia Fractures. JROS 2022; 9 (4) :201-208
URL: http://jros.iums.ac.ir/article-1-2229-en.html
URL: http://jros.iums.ac.ir/article-1-2229-en.html
Mohammad Hossein Nabian1 
, Mehdi Komijani1 , Mohammad Hasan Sharafi1 , Ramin Shayan-Moghadam1 , Yosef Mehrabi1 , Erfan Babaei Nejad 1
, Mehdi Komijani1 , Mohammad Hasan Sharafi1 , Ramin Shayan-Moghadam1 , Yosef Mehrabi1 , Erfan Babaei Nejad 1
1- Department of Orthopedic and Trauma Surgery, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abstract: (242 Views)
Background: Intramedullary nail (IMN) usage is a proposed method for fixing long bone fractures. Distal nail screw implantation can be achieved through two methods, the conventional C-arm method and the C-arm-based navigation method.
Objectives: This study aims to compare the two mentioned methods in terms of their consequences, such as duration of operation, times of radiation exposure, and the success rate of screw implantation in patients with femur or tibia fractures.
Methods: This randomized clinical trial involved 44 patients with femur or tibia fractures, equally divided into control and intervention groups. The conventional C-arm method and C-arm-based navigation method were respectively used in the control and intervention groups for distal Kuntscher screw implantation. The radiation exposure times, the duration of surgery, the number of attempts to implant each screw, and the success rate of each screw implantation were recorded.
Results: The success rate and duration of distal nail screw implantation were almost the same in the study groups. However, using the C-arm-based navigation method significantly reduced the amount of radiation exposure.
Conclusion: Using navigation as a new technology in orthopedics may have a beneficial impact on the process of distal IMN screws implantation.
Objectives: This study aims to compare the two mentioned methods in terms of their consequences, such as duration of operation, times of radiation exposure, and the success rate of screw implantation in patients with femur or tibia fractures.
Methods: This randomized clinical trial involved 44 patients with femur or tibia fractures, equally divided into control and intervention groups. The conventional C-arm method and C-arm-based navigation method were respectively used in the control and intervention groups for distal Kuntscher screw implantation. The radiation exposure times, the duration of surgery, the number of attempts to implant each screw, and the success rate of each screw implantation were recorded.
Results: The success rate and duration of distal nail screw implantation were almost the same in the study groups. However, using the C-arm-based navigation method significantly reduced the amount of radiation exposure.
Conclusion: Using navigation as a new technology in orthopedics may have a beneficial impact on the process of distal IMN screws implantation.
Keywords: Orthopedics, Fracture of the long bones of the lower limb, Intramedullary nail (IMN), Navigation, Distal locking screw
Type of Study: Research Article |
Subject:
Trauma
Received: 2022/02/11 | Accepted: 2022/04/18 | Published: 2022/11/1
Received: 2022/02/11 | Accepted: 2022/04/18 | Published: 2022/11/1
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