Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study. 2023

Serdar Menekse
Orthopedic Department, Adana Seyhan State Hospital, Seyhan, Adana, Turkey.

Intramedullary nailing is a common orthopedic procedure, but current methods for distal screw locking have several limitations. This study introduces and evaluates a novel technique that aims to overcome these challenges. The findings were statistically significant, with P-values set at .05. Compared to the traditional method, the novel technique demonstrated several advantages. Mean operation times were reduced to 1.2 hours for the new method, in contrast to 1.5 hours for the control group. Hospital stays also favored the new technique, with a mean duration of 2 days, while the control group averaged 3 days. A significant benefit was the marked decrease in radiation exposure, with the new technique eliminating radiation entirely, recording 0.0 mSv compared to the control group's 2.5 mSv. The procedure's success, gauged by the accurate positioning of screws, was higher for the new technique at 92% versus the control's 78%. Furthermore, complication rates were notably lower in the new method, with a 6% incidence compared to 16% in the traditional approach. While the data suggest that the new technique holds promising advantages, such as reduced operation times, decreased radiation exposure, and fewer complications, it is essential to conduct more extensive research for comprehensive validation. Despite the optimistic results, the study acknowledges the need for larger-scale trials to solidify these findings.

UI MeSH Term Description Entries
D001863 Bone Screws Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures. Bone Screw,Screw, Bone,Screws, Bone
D005471 Fluoroscopy Production of an image when x-rays strike a fluorescent screen. Fluoroscopies
D005594 Fracture Fixation, Intramedullary The use of nails that are inserted into bone cavities in order to keep fractured bones together. Intramedullary Nailing,Nailing, Intramedullary,Osteosynthesis, Fracture, Intramedullary,Fixation, Intramedullary Fracture,Fixations, Intramedullary Fracture,Fracture Fixations, Intramedullary,Intramedullary Fracture Fixation,Intramedullary Fracture Fixations,Intramedullary Nailings,Nailings, Intramedullary
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D035061 Control Groups Groups that serve as a standard for comparison in experimental studies. They are similar in relevant characteristics to the experimental group but do not receive the experimental intervention. Control Group,Group, Control,Groups, Control

Related Publications

Serdar Menekse
January 2014, Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery,
Serdar Menekse
February 1990, Journal of the Royal College of Surgeons of Edinburgh,
Serdar Menekse
September 2023, Orthopaedics & traumatology, surgery & research : OTSR,
Serdar Menekse
December 2016, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP,
Serdar Menekse
December 2017, The international journal of medical robotics + computer assisted surgery : MRCAS,
Copied contents to your clipboard!