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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 22, Issue 9, pp 2237–2242 | Cite as

Electromagnetic navigation provides high accuracy for transcoracoid-transclavicular drilling

  • Michael HoffmannEmail author
  • Maximilian Hartel
  • Malte Schroeder
  • Oliver Reinsch
  • Alexander S. Spiro
  • Andreas H. Ruecker
  • Lars Grossterlinden
  • Daniel Briem
  • Johannes M. Rueger
  • Jan Phillip Petersen
Shoulder

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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.

Keywords

Navigation AC joint injuries AC joint dislocation AC joint reconstruction Shoulder Acromioclavicular Coracoclavicular 

Supplementary material

Supplementary material 1 (MPEG 10990 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Michael Hoffmann
    • 1
    Email author
  • Maximilian Hartel
    • 1
  • Malte Schroeder
    • 1
  • Oliver Reinsch
    • 1
  • Alexander S. Spiro
    • 1
  • Andreas H. Ruecker
    • 1
  • Lars Grossterlinden
    • 1
  • Daniel Briem
    • 1
  • Johannes M. Rueger
    • 1
  • Jan Phillip Petersen
    • 1
  1. 1.Department of Trauma, Hand and Reconstructive SurgeryUniversity Medical Center Hamburg-EppendorfHamburgGermany

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