RESUMO
Cannulated Screw is a common internal fixation for the treatment of femoral neck fractures. However, the traditional implantation method has disadvantages such as inaccuracy and large radiation exposure. Based on the anatomical characteristics of the femoral neck and geometric principles, we develop a novel guide device for cannulated screws insertion. The cadaver experiment showed that it can improve the accuracy of cannulated screws implantation, reduce puncture attempts and the radiation exposure of doctors and patients.
Assuntos
Humanos , Parafusos Ósseos , Fraturas do Colo Femoral/cirurgia , Fixação Interna de Fraturas , Procedimentos Cirúrgicos RobóticosRESUMO
With the development of laryngeal microsurgery, the requirements for the flexibility and convenience of surgical instruments are increasing. The research on related instruments has important value for the clinical application of laryngeal microsurgery. We have redesigned a gun-type tube-guide device of laser fiber by comparing the shortcomings of existing laser fiber introducers. The innovation of this design lies in its rotating nut device with adjustable laser angle and pre-bent tip. The corresponding
Assuntos
Humanos , Laringe/cirurgia , Terapia a Laser/instrumentação , Lasers , Microcirurgia/instrumentação , Instrumentos CirúrgicosRESUMO
OBJECTIVE@#To explore the application effect of a new guide device designed according to the anatomical characteristics of the femoral neck cross section to assist the internal fixation of multiple screw of the femoral neck.@*METHODS@#From October to December 2016, 10 adult dry femur specimens, including 7 males and 3 females, aged 37 to 58(47.5±7.5) years old, were selected. Three hollow screws were implanted to simulate the treatment of femoral neck fracture with the new guider technology and the traditional guider technology as the control. The screw location accuracy parameters, screw puncture times, screw parallelism, operation time and fluoroscopy times of the two methods were recorded and compared.@*RESULTS@#Sixty screws were successfully implanted in 20 specimens. There was no significant difference in screw parallelism, operation time and fluoroscopy times between the two methods(>0.05). There were significant differences in the distance between screw and cortex, the distance between screw and femoral neck, the area ratio between screw and femoral neck, the distance between screws and the number of screw punctures between two methods(<0.05). It showed that the new type of guide had more advantages than the traditional method in locating screw accuracy and reducing the number of punctures.@*CONCLUSIONS@#Compared with the traditional technique, the new guider and percutaneous puncture technique under two-dimensional fluoroscopy have better localization of internal fixation screw for femoral neck fracture.