کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3242805 1206128 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Evaluation of the Stryker S2™ IM Nail Distal Targeting Device for reduction of radiation exposure: A case series study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Evaluation of the Stryker S2™ IM Nail Distal Targeting Device for reduction of radiation exposure: A case series study
چکیده انگلیسی

SummaryDistal locking is one challenging step during intramedullary nailing of femoral shaft fractures that can lead to an increase of radiation exposure. In the present study, the authors describe a technique for the distal locking of femoral nails, implementing a new targeting device in an attempt to reduce radiation exposure and operational time. Over a 2-year period, 127 consecutive cases of femoral shaft fractures were included in the study. All cases were treated with nailing of femoral shaft fractures with an unslotted reamed antegrade femoral nail and distal locking was performed with the use of a proximally mounted aiming device. Mean duration of the procedure was 63.5 ± 18.1 min while the duration for distal locking was 6.6 ± 2.6 min. In all successful cases, exposure from intraoperative fluoroscopy was 17.2 ± 7.4 s for the whole operative procedure, and for distal locking was 2 shots, 1.35 s (range, 0.9–2.2 s) and 1.9 mGy (range, 1.1–2.9 mGy). Five cases (3.9%) were unsuccessful, but overall no intraoperative complications were encountered from the application of this technique. The ability of the device to correspond to the level of nail deformation and to properly identify the distal holes, reduced exposure to radiation compared to other published reports, and should be considered as a valuable tool for distal locking of femoral fractures.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 39, Issue 10, October 2008, Pages 1210–1215
نویسندگان
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