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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 9/2014

01-09-2014 | Shoulder

Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling

Authors: Michael Hoffmann, Maximilian Hartel, Malte Schroeder, Oliver Reinsch, Alexander S. Spiro, Andreas H. Ruecker, Lars Grossterlinden, Daniel Briem, Johannes M. Rueger, Jan Phillip Petersen

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2014

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Abstract

Purpose

A novel radiation-free electromagnetic navigation system (ENS)–based method was developed, and its feasibility and accuracy for transclavicular-transcoracoid drilling procedures were evaluated in an experimental setting.

Methods

Sixteen arthroscopically assisted electromagnetic navigated transcoracoid-transclavicular drilling procedures with subsequent TightRope® device implantation were performed on eight human cadavers. Post-operative fluoroscopy and CT-scan analysis were acquired to determine tunnel placement accuracy. Optimal tunnel placement was defined as both the coracoid entry and exit point of the tunnel localized in the centre position of the coracoid base without cortical breach or fracture.

Results

Successful tunnel placement was accomplished in all 16 cases. The mean overall operation time was 30.3 ± 5.0 min. Regarding the coracoid exit point, 15 of 16 tunnels (93.8 %) were localized in the desired base-centre position. During the navigated drilling procedure, no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breach, no fractures and no complications occurred.

Conclusions

The electromagnetically navigated transcoracoid-transclavicular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative radiographs, was associated with no complications and provided user-friendliness.
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Metadata
Title
Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling
Authors
Michael Hoffmann
Maximilian Hartel
Malte Schroeder
Oliver Reinsch
Alexander S. Spiro
Andreas H. Ruecker
Lars Grossterlinden
Daniel Briem
Johannes M. Rueger
Jan Phillip Petersen
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2607-8

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