Int J Med Robot - Navigated vs arthroscopic-guided drilling for reconstruction of acromioclavicular joint injuries: accuracy and feasibility.

Tópicos

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Resumo

CKGROUND: Anatomical reconstruction of the coracoclavicular ligaments is a relatively new technique for acromioclavicular (AC) joint injuries.METHODS: Eighteen procedures (nine non-navigated, nine navigated) of anatomical reconstruction were performed minimally invasively, using the Tight Rope system, on cadaveric shoulders. Two Kirschner wires were placed, freehand under fluoroscopic control (non-navigated) or 3D C-arm navigated. The insertion point on the clavicle as well as the position of the K-wire in the coracoid were measured in the axial and coronal planes; points were assigned for different zones. For statistical analysis, the significance level was set to p=0.05.RESULTS: The accuracy of the entry point in the clavicle was significantly more accurate for the conoidal (p=0.022) and trapezoidal ( p=0.0062) drillings. The positioning in the coronal (p=0.037) and axial (p=0.0416) planes also showed higher accuracy for the navigated procedures.CONCLUSION: The accuracy of anatomical AC joint reconstruction can be improved using 3D C-arm flat detector navigation.

Resumo Limpo

ckground anatom reconstruct coracoclavicular ligament relat new techniqu acromioclavicular ac joint injuriesmethod eighteen procedur nine nonnavig nine navig anatom reconstruct perform minim invas use tight rope system cadaver shoulder two kirschner wire place freehand fluoroscop control nonnavig d carm navig insert point clavicl well posit kwire coracoid measur axial coron plane point assign differ zone statist analysi signific level set presult accuraci entri point clavicl signific accur conoid p trapezoid p drill posit coron p axial p plane also show higher accuraci navig proceduresconclus accuraci anatom ac joint reconstruct can improv use d carm flat detector navig

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