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MUSCULOSKELETAL SURGERY
Published in: MUSCULOSKELETAL SURGERY 1/2017

01-04-2017 | Original Article

Fluoroscopic freehand and electromagnetic-guided targeting system for distal locking screws of humeral intramedullary nail

Authors: P. Persiani, M. Gurzi, O. Moreschini, G. Di Giacomo, C. Villani

Published in: MUSCULOSKELETAL SURGERY | Issue 1/2017

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Abstract

Purpose

The current techniques used to lock distal screws for the nailing of long bone fractures expose the surgeons, radiologists and patients to a hearty dose of ionizing radiation. The Sureshot™ Distal Targeting System is a new technique that, with the same results, allows for shorter surgery times and, consequently, less exposure to radiation.

Materials and methods

The study was performed on 59 patients (34 males and 25 females) with a simple humerus fracture diagnosis, type 1.2.A according to the AO classification, who were divided into two groups. Group 1 was treated with ante-grade intramedullary nailing with distal locking screws inserted with a freehand technique. Group 2 was treated with the intramedullary nail using the Sureshot™ Distal Targeting System. Two intra-operative time parameters were evaluated in both groups: the time needed for the positioning of the distal locking screws and the time of exposure to ionizing radiations during this procedure.

Results

Group 2 showed a lower average distal locking time compared to group 1 (645.48″ vs. 1023.57″) and also a lower average time of exposure to ionizing radiation than in group 1 (4.35″ vs. 28.96″).

Conclusion

The Sureshot™ Distal Targeting System has proven to be equally effective when compared to the traditional techniques, with the added benefits of a significant reduction in both surgical time and risk factors related to the exposure to ionizing radiation for all the operating room staff and the patient.
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Metadata
Title
Fluoroscopic freehand and electromagnetic-guided targeting system for distal locking screws of humeral intramedullary nail
Authors
P. Persiani
M. Gurzi
O. Moreschini
G. Di Giacomo
C. Villani
Publication date
01-04-2017
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue 1/2017
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-016-0436-x

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