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Archives of Orthopaedic and Trauma Surgery

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01-11-2014 | Trauma Surgery

Novel endoscopic sacroiliac screw removal technique: reduction of intraoperative radiation exposure

Authors: Michael Oberst, Gerhard Konrad, Georg W. Herget, Abdelrehim El Tayeh, Norbert P. Suedkamp

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2014

Abstract

Objective

We report in the following on our technique of endoscopic sacroiliacal screw removal as a new extra-articular endoscopic method in soft tissue surgery, aimed at the reduction of radiation exposure for both the patient and the surgical teams.

Summary of background data

Patients who underwent endoscopic implant removal from the dorsal pelvic ring (Group A) were retrospectively compared with a control group, in which the screws were removed via the conventional approach (Group B). The parameters of interest were the extent of x-ray exposure in seconds and surgical duration in minutes as well as approach related peri- and postoperative complications.

Results

34 screws were removed endoscopically from 28 patients in group A and 35 screws from 29 patients in group B. The mean skin-to-skin time in group A was 36.1 (15–111) min and 32.7 (12–114) min in group B. The difference was not statistically significant (p > 0.05). The average radiation time in group A was 5.7 ± 3.2 s (range, 0–101 s), while in group B the radiation time was significantly longer (52.6 ± 23 s (range, 0–239 s); p = 0.005).

Conclusions

Endoscopic screw removal from the posterior pelvic ring reduces the intraoperative radiation time whereas the skin-to-skin times do not differ from the conventional procedure.

Level of evidence

Case–control study, Level III.

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Title: Novel endoscopic sacroiliac screw removal technique: reduction of intraoperative radiation exposure
Authors: Michael Oberst
Gerhard Konrad
Georg W. Herget
Abdelrehim El Tayeh
Norbert P. Suedkamp
Publication date: 01-11-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-014-2076-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Novel endoscopic sacroiliac screw removal technique: reduction of intraoperative radiation exposure

Abstract

Objective

Summary of background data

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Summary of background data

Results

Conclusions

Level of evidence

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