Pelvic Osteosynthesis using computer guided navigation

Česká verzia

Authors: Roman Madeja; Leopold Pleva; Vladimír Ječmínek
Authors place of work: Trauma Centre University Hospital Ostrava and Fakulty of Medicine University of Ostrava ; Traumatologické centrum FN Ostrava a Lékařská fakulta OU v Ostravě
Published in the journal: Úraz chir. 23., 2015, č.3

Summary

Objective:
The authors report about their experience using computer guided navigation in pelvic/acetabular osteosynthesis regarding duration of surgery and peri-operative radiation doses.

Materials and methods:
A total of 29 osteosyntheses were performed using computer guided navigation of the sacroiliac joint (21) and acetabulum (8). For fixation cannulated screws were used. The followed parameters were duration of surgery, radiation dose as seen on the image-intensifier, related to the number of inserted screws.

Results:
The graphs show a decrease in duration of surgery and radiation dose corresponding with the number of surgeries performed. We observed one infection. There were no mal-positions of the inserted screws or damage to neurovascular structures seen.

Conclusion:
The use of computer guided navigation in screw fixation of the pelvic area can significantly reduce the perioperative radiation load and shorten duration of surgery.

Key words:
Computer navigation device, osteosynthesis pelvis, X- ray radiation.

Zdroje

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