Tibia Antibiotic Intramedullary Nail

MacCormick, Lauren M.; Gajari, Vamshi; Obremskey, William T.

doi:10.1097/bot.0000000000002182

Cited by 4 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[20,21] Prolonged surgical durations are associated with an increased risk of postoperative complications, thereby extending the recovery process. [22,23] Therefore, a shortened surgical duration can enhance the patient's overall recovery process and lower associated costs. [24] Our modified technique also presents a reduction in complication rates.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Menekse

2023

Medicine

View full text Add to dashboard Cite

Intramedullary nailing is a common orthopedic procedure, but current methods for distal screw locking have several limitations. This study introduces and evaluates a novel technique that aims to overcome these challenges. The findings were statistically significant, with P-values set at .05. Compared to the traditional method, the novel technique demonstrated several advantages. Mean operation times were reduced to 1.2 hours for the new method, in contrast to 1.5 hours for the control group. Hospital stays also favored the new technique, with a mean duration of 2 days, while the control group averaged 3 days. A significant benefit was the marked decrease in radiation exposure, with the new technique eliminating radiation entirely, recording 0.0 mSv compared to the control group’s 2.5 mSv. The procedure’s success, gauged by the accurate positioning of screws, was higher for the new technique at 92% versus the control’s 78%. Furthermore, complication rates were notably lower in the new method, with a 6% incidence compared to 16% in the traditional approach. While the data suggest that the new technique holds promising advantages, such as reduced operation times, decreased radiation exposure, and fewer complications, it is essential to conduct more extensive research for comprehensive validation. Despite the optimistic results, the study acknowledges the need for larger-scale trials to solidify these findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Menekse

2023

Medicine

View full text Add to dashboard Cite

show abstract

“…External fixation has a relatively higher incidence of infection due to exposed incisions and uncooperative animals. The most common intramedullary nailing system on the other hand has some obvious advantages: (i) the mechanical axis of the operated limb can be adjusted to prevent stress concentrated on one particular region of the operated bone and reduce the risk of refracture; (ii) a closed incision and implantation can preserve periosteal blood supply, reduce the risk of postoperative infection, and retain growth factors during hematoma formation of fracture repair [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Computer-aided design and 3D printing for a stable construction of segmental bone defect model in Beagles: a short term observation

Cheng,

Zhu,

Peng

et al. 2024

3D Print Med

View full text Add to dashboard Cite

Objective Segmental bone defect animal studies require stable fixation which is a continuous experimental challenge. Large animal models are comparable to the human bone, but with obvious drawbacks of housing and costs. Our study aims to utilize CAD and 3D printing in the construction of a stable and reproducible segmental bone defect animal mode. Methods CAD-aided 3D printed surgical instruments were incorporated into the construction of the animal model through preoperative surgical emulation. 20 3D printed femurs were divided into either experimental group using 3D surgical instruments or control group. In Vitro surgical time and accuracy of fixation were analysed and compared between the two groups. A mature surgical plan using the surgical instruments was then utilized in the construction of 3 segmental bone defect Beagle models in vivo. The Beagles were postoperatively assessed through limb function and imaging at 1, 2 and 3 months postoperatively. Results In vitro experiments showed a significant reduction in surgical time from 40.6 ± 14.1 (23–68 min) to 26 ± 4.6 (19–36 min) (n = 10, p < 0.05) and the accuracy of intramedullary fixation placement increased from 71.6 ± 23.6 (33.3–100) % to 98.3 ± 5.37 (83–100) %, (n = 30, p < 0.05) with the use of CAD and 3D printed instruments. All Beagles were load-bearing within 1 week, and postoperative radiographs showed no evidence of implant failure. Conclusion Incorporation of CAD and 3D printing significantly increases stability, while reducing the surgical time in the construction of the animal model, significantly affecting the success of the segmental bone defect model in Beagles.

show abstract

Effectiveness of antibiotic-coated intramedullary nails for open tibia fracture infection prevention. A systematic review and meta-analysis

Vargas-Hernández,

Sánchez,

Renza

et al. 2023

Injury

View full text Add to dashboard Cite

Tibia Antibiotic Intramedullary Nail

Cited by 4 publications

References 8 publications

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Fluoroscopy-free distal screw locking in intramedullary nailing: A retrospective study

Computer-aided design and 3D printing for a stable construction of segmental bone defect model in Beagles: a short term observation

Effectiveness of antibiotic-coated intramedullary nails for open tibia fracture infection prevention. A systematic review and meta-analysis

Contact Info

Product

Resources

About