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Kirschner wire placement in scaphoid bones using fluoroscopic navigation: a cadaver study comparing conventional techniques with navigation
Author(s) -
Liverneaux Philippe A.,
Gherissi Anes,
Stefanelli Matthieu Beustes
Publication year - 2008
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.194
Subject(s) - cadaver , kirschner wire , computer science , orthodontics , medicine , computer vision , artificial intelligence , anatomy , prosthesis
Background During scaphoid fixation, a pin guide is first inserted along the axis of the scaphoid, and then a cannulated screw is inserted around the pin guide. At least, the pinguide is removed. To verify the position of the pin guide, fluoroscopy is typically used, with the disadvantage of irradiation. Thus, it is impossible to visualize the pin guide in more than one view simultaneously. The goal of this study was to compare two pin guide placement techniques in scaphoid fixation: conventional (CF) vs. fluoroscopic navigation (FN). Methods Eleven upper limbs of cadavers were divided into two groups. The CF group included four scaphoids which were to be fixed with pin guide. The FN group included seven scaphoids which were to be fixed with the same technique under FN. Results The accuracy of screw insertion in both groups does not differ. In the CF group, the X‐ray exposure time is four times higher. The total duration of the surgical procedure is slightly higher in the FN group. Conclusions We are of the opinion that FN could be applied in clinical practice and could offer significant benefits in the treatment of fixation of the scaphoid. Copyright © 2008 John Wiley & Sons, Ltd.