6 Inquiries And Answers To CAL-101

28 Despite the concern about radiation exposure and technical difficulties encountered with the placement of distal interlocks, the freehand technique continues to be the most popular technique for placing distal interlocking screws.4?and?7 In this study, we compared two guidance methods for distal locking of intramedullary implants. The distal locking procedure was selected as a clinical model to evaluate electromagnetic-based surgical navigation for several reasons. The distal locking procedure is common. Kirousis et al. report that the mean fluoroscopy time is 71(SD 40) s, ranging from 19 to 141?s in the whole intramedullary nailing procedure.3 Furthermore, Levin et al. report that 60�C307?s of fluoroscopy time are required to insert the distal interlocking screws using a freehand method with fluoroscopic guidance.29 this website This means that 40�C50% of the total fluoroscopic times for nailing are required for the distal locking procedure. In the present study, fluoroscopic times for distal locking with freehand fluoroscopic guidance in group I were found lower than those reported in the literature. Hoffmann et al. reported a cadaver study with comparison of 50 standard freehand fluoroscopic-guided and 50 electromagnetic-guided distal locking procedures. Hoffmann et al. reported a median time benefit of 244?s without using ionising radiation compared with the freehand fluoroscopic technique.30 With electromagnetic-based surgical navigation, we succeeded in reducing the fluoroscopic time required to insert two interlocking screws to 1.62?s. In two cases, SKAP1 the distal locking was performed fluoroscopy free. In the group II, there were no failures. (No screw/drill bit breakage, no screws were placed outside the screw holes and there was no conversion to the freehand technique.) The duration of distal interlocking was reduced by 57.22%. This was statistically significant (P?selleck products of this study is the variation in the numbers of femoral and tibial nails in each group. Further, the number of surgeons who performed the operation is another limitation of our study. In conclusion, this retrospective study on distal locking of intramedullary implants showed that fluoroscopic times to achieve equivalent precision are significantly reduced with electromagnetism-based surgical navigation compared with freehand fluoroscopic guidance. The ability of the device to correspond to the level of nail deformation and to properly identify the distal holes plays a key role in the production of reliable and predictable results. Further, there is no significant increase in cost compared with the freehand system. None of the authors have a conflict of interest and no financial support was received for this study. ""Falls and fall-related injuries among elderly people are a major public health concern causing significant morbidity and mortality.