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Computer-assisted Femur Fracture Reduction

  • Original Article
  • Published:
European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Introduction:

When using intramedullary nailing of femur fractures false axis alignment or malrotation is the greatest deterrent to successful reduction often causing extended x-ray exposure and the need to revert to an open procedure. The aim of this study was to demonstrate the advantages of using a trauma navigation system during intramedullary nailing of femur fractures.

Materials and Methods:

A fluoroscopic navigation unit was used and successful closed fracture reduction, x-ray exposure, and operation time were measured. Between 2004 and 2007 19 patients receiving intramedullary nailing of femur fractures using a Stryker trauma navigation system were included in the study. The results were compared to 10 conventionally operated femur fractures between 2003 and 2006.

Results:

The study demonstrated an important reduction of radiation time and less needs for reverting to open reduction.

Conclusion:

Based on these findings we conclude that the use of a trauma navigation system during fracture reduction has clear advantages. These are based primarily on its ability to provide 3-dimensional viewing of the fracture during the reduction procedure. This eliminates the need for multiple positioning adjustments of the x-ray C-arm from horizontal to vertical for better viewing and in doing so reduced radiation time and needs for open reduction.

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Authors and Affiliations

  1. Department of Trauma, Hand, and Reconstructive Surgery, Johann-Wolfgang-Goethe University, Frankfurt/Main, Germany

    Johannes Frank, Christian Winter, Bernd Maier & Ingo Marzi

  2. General, Visceral, and Transplantation Surgery, Surgical Clinic, University of Heidelberg, Heidelberg, Germany

    Bernd Gritzbach

  3. Department of Trauma, Hand, and Reconstructive Surgery, Johann-Wolfgang-Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt/Main, Germany

    Johannes Frank

Authors
  1. Johannes Frank
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  2. Bernd Gritzbach
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  3. Christian Winter
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  4. Bernd Maier
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  5. Ingo Marzi
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Correspondence to Johannes Frank.

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Frank, J., Gritzbach, B., Winter, C. et al. Computer-assisted Femur Fracture Reduction. Eur J Trauma 36, 151–156 (2010). https://doi.org/10.1007/s00068-009-9155-4

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  • DOI: https://doi.org/10.1007/s00068-009-9155-4

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