scholarly journals Perceptions and Realities for Distal Freehand Interlocking of Intramedullary Nails

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Robert F. Ostrum
Keyword(s):  
Fracture Pattern ◽  
Orthopaedic Trauma ◽  
Intramedullary Nails ◽  
Orthopaedic Surgeons ◽  
Distal Interlocking

There is a perception that distal freehand interlocking (DFHI) of intramedullary nails can be difficult and time consuming. This study consists of a survey of surgeons’ practices for DFHI screws and their reasons for not using this technique. A survey was sent to 1400 orthopaedic surgeons who were asked to agree or disagree with statements regarding the difficulty and indications for the usage of distal freehand interlocking screws. The results were analyzed by practice demographics, resident availability, and completion of an orthopaedic trauma fellowship. Overall, 316 surgeons (22.6%) responded to the survey. Fellowship trained surgeons were 60% less likely to find DFHI difficult when compared to nonfellowship surgeons and surgeons with residents were 76% less likely to perceive DFHI as difficult than surgeons without residents. In all groups, 40–43% of surgeons used distal interlocking based on their comfort with the technique and not the fracture pattern. Distal freehand interlocking is perceived as difficult by community orthopaedic surgeons without residents and surgeons who have not done an orthopaedic trauma fellowship. Forty percent of surgeons based their usage of DFHI screws on their comfort with the technique and not the fracture pattern.

scholarly journals Development of a Magnetic Targeting Device Applied to Interlocking of Distal Intramedullary Nail Screw Holes

2003 ◽  
Author(s):  
David C. Szakelyhidi
Keyword(s):  
Radiation Exposure ◽  
Intramedullary Nail ◽  
Magnetic Targeting ◽  
The Novel ◽  
Intramedullary Nails ◽  
Current Technology ◽  
Novel Device ◽  
Distal Interlocking ◽  
Correct Location

A magnetic targeting device was developed to assist orthopedic surgeon’s with distal interlocking of intramedullary nails, in which the novel device aligns the surgeon’s drill at the correct location for drilling. This device has significant advantages over current technology, being percutaneous, portable, and using no fluoroscopy for targeting. This device can allow shorter surgery, decreased radiation exposure, and fewer complications for the surgeon and patient.

Stereo Fluoroscopy-Assisted Distal Interlocking of Intramedullary Nails

1997 ◽  
Vol 11 (4) ◽  
pp. 300-303 ◽  
Author(s):  
Takashi Ohe ◽  
Kozo Nakamura ◽  
Takashi Matsushita ◽  
Masayuki Nishiki ◽  
Naoto Watanabe ◽  
...  
Keyword(s):  
Intramedullary Nails ◽  
Distal Interlocking

Planned Upper Limb Trauma: Is it Better?

2011 ◽  
Vol 93 (7) ◽  
pp. 273-276
Author(s):  
Joideep Phadnis ◽  
Ramiah Chidambaram
Keyword(s):  
Health Service ◽  
Upper Limb ◽  
Orthopaedic Trauma ◽  
Wide Scope ◽  
Primary Interest ◽  
Orthopaedic Surgeons ◽  
Limb Trauma ◽  
The Uk ◽  
Complex Cases

In the UK, orthopaedic trauma is chiefly managed by consultants whose primary interest is not in trauma. In a survey conducted by McQueen, only 8.3% of British orthopaedic surgeons cited trauma as their primary interest despite 80% of those surveyed being on a regular trauma rota. The wide scope of orthopaedic trauma means that surgeons may encounter difficulty when faced with complex cases unfamiliar to them as part of their elective practice. Moreover, trauma operations are often performed by more junior consultants or unsupervised orthopaedic specialist trainees, which may increase the chance of complications and long-term cost to the health service.

Biomechanical Testing of the Compressive Strength of Various Distal Locking Screw Options for Intramedullary Nails in the Treatment of Tibia Fractures

2011 ◽  
Author(s):  
Fred Xavier ◽  
Elan Goldwyn ◽  
Westley T. Hayes ◽  
Alexandra Carrer ◽  
Max Berdichevsky ◽  
...  
Keyword(s):  
Testing Machine ◽  
Biomechanical Testing ◽  
Intramedullary Nails ◽  
Group Iii ◽  
Distal Locking ◽  
Locking Screws ◽  
Distal Interlocking ◽  
Group I ◽  
Tibia Fractures ◽  
Torsional Stability

Treatment of distal third tibia fractures remains challenging. New intramedullary nails provide torsional stability by using distal interlocking screws. In this study we attempted to determine the most biomechanically stable number and configuration of distal locking screws. The distal part of human cadaveric tibia bones was nailed using a tibial nail (Stryker T2). Distal locking was performed in three different configurations: (a) Group I: 2 screws in the medio-lateral (ML) direction, (b) Group II: 1 ML screw and 1 Screw in the antero-posterior (AP) direction, and (c) Group III: 2 ML screws and 1 AP screw. The specimens were then mounted onto a mechanical testing machine (Instron) and tested in compression. The load carrying capacity of the samples from Group III with these locking screws was higher than Group I & II, although this difference was not statistically significant.

scholarly journals The effect of orthopaedic surgeons’ and interventional radiologists’ availability on the priority treatment sequence for hemodynamically unstable pelvic fractures: a survey of US Level I trauma centers

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
S. Jarvis ◽  
A. Orlando ◽  
B. Blondeau ◽  
K. Banton ◽  
C. Reynolds ◽  
...  
Keyword(s):  
Pelvic Fractures ◽  
Orthopaedic Trauma ◽  
Trauma Centers ◽  
Treatment Sequence ◽  
Cross Sectional Survey ◽  
Pelvic Packing ◽  
Study Objective ◽  
Orthopaedic Surgeons ◽  
Level I ◽  
Trauma Surgeons

Abstract Background Most guidelines recommend both pelvic packing (PP) and angioembolization for hemodynamically unstable pelvic fractures, however their sequence varies. Some argue to use PP first because orthopaedic surgeons are more available than interventional radiologists; however, there is no data confirming this. Methods This cross-sectional survey of 158 trauma medical directors at US Level I trauma centers collected the availability of orthopaedic surgeons and interventional radiologists, the number of orthopaedic trauma surgeons trained to manage pelvic fractures, and priority treatment sequence for hemodynamically unstable pelvic fractures. The study objective was to compare the availability of orthopaedic surgeons to interventional radiologists and describe how the availability of orthopaedic surgeons and interventional radiologists affects the treatment sequence for hemodynamically unstable pelvic fractures. Fisher’s exact, chi-squared, and Kruskal-Wallis tests were used, alpha = 0.05. Results The response rate was 25% (40/158). Orthopaedic surgeons (86%) were on-site more often than interventional radiologists (54%), p = 0.003. Orthopaedic surgeons were faster to arrive 39% of the time, and interventional radiologists were faster to arrive 6% of the time. There was a higher proportion of participants who prioritized PP before angioembolization at centers with above the average number (> 3) of orthopaedic trauma surgeons trained to manage pelvic fractures, as among centers with equal to or below average, p = 0.02. Arrival times for orthopaedic surgeons did not significantly predict prioritization of angioembolization or PP. Conclusions Our results provide evidence that orthopaedic surgeons typically are more available than interventional radiologists but contrary to anecdotal evidence most participants used angioembolization first. Familiarity with the availability of orthopaedic surgeons and interventional radiologists may contribute to individual trauma center’s treatment sequence.

Aiming technique for the distal interlocking of intramedullary nails

1987 ◽  
Vol 20 (8) ◽  
pp. 810
Author(s):  
R. Frigg ◽  
P. Gisin ◽  
U. Jenny ◽  
S.M. Perren
Keyword(s):  
Intramedullary Nails ◽  
Distal Interlocking
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