Interlocking intramedullary nails. An improved method of screw placement combining image intensification and laser light.

Abstract:

:Insertion of distal interlocking screws in femoral nails can be technically demanding and may entail substantial exposure. A method of insertion of femoral interlocking screws that uses a laser guiding system in addition to the standard image intensifier was used in an attempt to improve the accuracy of distal screw placement and to limit radiation exposure. Using this technique, 97% of the distal femoral drill holes attempted were successfully made with the first pass of a drill. Little or no resistance to the drill was met from contacting the femoral nail. Average fluoroscopy time was 0.4 minute. Laser-assisted screw placement requires relatively inexpensive modifications of existing equipment and is easy to master. Compared with the more commonly used freehand method, laser-assisted screw placement appears to offer a reduction in the amount of time and radiation exposure required to insert distal interlocking femoral screws.

journal_name

Clin Orthop Relat Res

authors

Goulet JA,Londy F,Saltzman CL,Matthews LS

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

199-203

issue

281

eissn

0009-921X

issn

1528-1132

pub_type

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