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Percutaneous navigated screw fixation of glenoid fractures

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

Open or percutaneous arthroscopic-based procedures are reported to fix unstable or displaced intra-articular glenoid fractures. Approach related morbidity has to be considered for open procedures, and arthroscopic-based procedures are demanding. Therefore an alternative percutaneous navigated approach is described.

Technical procedure

In an experimental setting an operative workflow was simulated to evaluate the best position of the patient on the operation table, the operating room set up and the fixation technique for the dynamic reference base of the navigation system. Based on two clinical cases, screw fixation of glenoid fractures via a posterior percutaneous approach is described, using a 2D-fluoroscopic based navigation system. Compared to the common approaches, the advantages and disadvantages of this procedure are discussed.

Conclusion

The described technique of percutaneous navigated screw fixation of glenoid fractures is an alternative minimal invasive procedure. A reduction of approach related morbidity and more rapid return to function could be expected. The intraoperative results and postoperative functional outcome of both cases are promising.

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Conflict of interest

The Friedrich-Schiller-University Jena has received reimbursement from BrainLAB AG for the development and approval of first clinical applications of the trauma3.0 navigation software. No author received any benefits or funds for the production of this manuscript.

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Authors and Affiliations

  1. Department of Trauma, Hand and Reconstructive Surgery, Friedrich-Schiller-University Jena, Berufsgenossenschaftliche Kliniken Halle, Trauma Center, Erlanger Allee 101, 07747, Jena, Germany

    Florian Gras, Ivan Marintschev, Matthias Aurich, Sascha Rausch & Gunther O. Hofmann

  2. Department of Orthopaedic Surgery, Friedrich-Schiller-University Jena, Jena, Germany

    Kajetan Klos

Authors
  1. Florian Gras
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  2. Ivan Marintschev
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  3. Matthias Aurich
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  4. Sascha Rausch
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  5. Kajetan Klos
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  6. Gunther O. Hofmann
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Corresponding author

Correspondence to Florian Gras.

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Gras, F., Marintschev, I., Aurich, M. et al. Percutaneous navigated screw fixation of glenoid fractures. Arch Orthop Trauma Surg 133, 627–633 (2013). https://doi.org/10.1007/s00402-013-1699-4

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  • DOI: https://doi.org/10.1007/s00402-013-1699-4

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