Computerized fluoroscopic-based navigation-assisted intramedullary nailing.
Intramedullary nailing, a fixation method commonly used for most diaphyseal fractures, relies heavily on fluoroscopy and delivers a significant amount of radiation to both patient and surgical team. Fluoroscopy-based computerized navigation enables accuracy in implant placement and minimizes soft-tissue dissection while reducing radiation. Navigation facilitates intramedullary nailing in determining entry-point location, insertion of locking and blocking screws, and nail and screw length measurement. We refer to our preliminary experience with 150+ cases to describe the technique of navigation-based intramedullary nailing and its various applications.
Khoury
Amal
A
Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Liebergall
Meir
M
Weil
Yoram
Y
Mosheiff
Rami
R
D001858:Bone Nails; D005471:Fluoroscopy / Q000295:instrumentation / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D009985:Orthopedics / Q000379:methods*; D025321:Surgery, Computer-Assisted