Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling
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A novel radiation-free electromagnetic navigation system (ENS)–based method was developed, and its feasibility and accuracy for transclavicular-transcoracoid drilling procedures were evaluated in an experimental setting.
Sixteen arthroscopically assisted electromagnetic navigated transcoracoid-transclavicular drilling procedures with subsequent TightRope® device implantation were performed on eight human cadavers. Post-operative fluoroscopy and CT-scan analysis were acquired to determine tunnel placement accuracy. Optimal tunnel placement was defined as both the coracoid entry and exit point of the tunnel localized in the centre position of the coracoid base without cortical breach or fracture.
Successful tunnel placement was accomplished in all 16 cases. The mean overall operation time was 30.3 ± 5.0 min. Regarding the coracoid exit point, 15 of 16 tunnels (93.8 %) were localized in the desired base-centre position. During the navigated drilling procedure, no misguidance of the drill requiring directional readjustments or restarts occurred. No cortical breach, no fractures and no complications occurred.
The electromagnetically navigated transcoracoid-transclavicular drilling procedure used in this study demonstrated high targeting accuracy, required no intraoperative radiographs, was associated with no complications and provided user-friendliness.
KeywordsNavigation AC joint injuries AC joint dislocation AC joint reconstruction Shoulder Acromioclavicular Coracoclavicular
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- 10.Hoffmann M, Petersen JP, Schröder M, Hartel M, Kammal M, Rueger JM, Ruecker AH (2012) Accuracy analysis of a novel electromagnetic navigation procedure versus a standard fluoroscopic method for retrograde drilling of osteochondritis dissecans lesions of the knee. Am J Sports Med 40:920–926PubMedCrossRefGoogle Scholar
- 11.Hoffmann M, Petersen JP, Schröder M, Spiro AS, Kammal M, Rueger JM, Ruecker AH (2012) Retrograde drilling of talar osteochondritis dissecans lesions: a feasibility and accuracy analysis of a novel electromagnetic navigation method versus a standard fluoroscopic method. Arthroscopy 28:1547–1554PubMedCrossRefGoogle Scholar