[Navigation assisted by image conversion. An experimental study on pelvic screw fixation].
Within an experimental trial the new method of fluoroscopy based navigation was tested for percutaneous pelvic screw fixations. A regular C-arm was used and the navigation system developed by Medivision. In a first step appropriate C-arm projections were defined for five standardized screw positions. Then precision and fluoroscopy time of 60 screws in 6 artificial pelves were evaluated. For the sacroliacal screw in S1, S1 screw in S2, anterior column screw, posterior column screw and the supraacetabular ilium screw three to four appropriate projections were defined. These were all combinations of the known special pelvic views inlet/outlet and iliac/obturator. Using these standardized views the average fluoroscopy time was 6 seconds per screw. 51 screws (85%) were inserted correctly. In five cases there was a slight deviation without perforating the cortex, four times the cortex was perforated.
Unfall- und Wiederherstellungschirurgie, Humboldt Universität zu Berlin, Charité, Campus Virchow Klinikum, Augustenburgerplatz 1, 13353 Berlin. ulrich.stoeckle@charite.de
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U
Stöckle
B
B
König
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R
Hofstetter
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LP
Nolte
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NP
Haas
D000077:Acetabulum / Q000601:surgery; D001863:Bone Screws; D005471:Fluoroscopy; D005592:Fracture Fixation / Q000295:instrumentation*; D006801:Humans; D007085:Ilium / Q000601:surgery; D007091:Image Processing, Computer-Assisted; D008953:Models, Anatomic; D010384:Pelvic Bones / Q000601:surgery*; D013813:Therapy, Computer-Assisted; D014057:Tomography, X-Ray Computed