A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience

Purpose: To describe our clinical experience with a system named SureShot™ Distal Targeting (Smith & Nephew, Memphis, USA) based on magnetic field presence and discuss our suggestions on this technique. Methods: We analysed prospectively 47 patients affected by humeral, tibial or femoral fractur...

Full description

Bibliographic Details
Main Authors: Guido Antonini, Wilfried Stuflesser, Cornelio Crippa, Georgios Touloupakis
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:Chinese Journal of Traumatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1008127516301092
_version_ 1811331333414191104
author Guido Antonini
Wilfried Stuflesser
Cornelio Crippa
Georgios Touloupakis
author_facet Guido Antonini
Wilfried Stuflesser
Cornelio Crippa
Georgios Touloupakis
author_sort Guido Antonini
collection DOAJ
description Purpose: To describe our clinical experience with a system named SureShot™ Distal Targeting (Smith & Nephew, Memphis, USA) based on magnetic field presence and discuss our suggestions on this technique. Methods: We analysed prospectively 47 patients affected by humeral, tibial or femoral fractures, treated in our institution during a 3-year period of time (August 2010 to September 2013). We considered the following parameters: the time to set up, the time to position a single screw, the effectiveness of the system (drilling ad screwing), the irradiation exposure time during distal locking procedure and surgical complications. Results: A total number of 96 screws were inserted. The mean preparation time of the device was 5.1 min ± 2 min (range 3–10 min). The mean time for single screw targeting was 5.8 min ± 2.3 min (range 4–18 min). No major complications occurred. Only a few locking procedures were needed to be practiced in order to obtain the required expertise with this targeting device. Conclusion: According to our results, this device is reliable and valid whenever the correct technique is followed. It is also user friendly, exposes to lower radiation and needs less surgical time compared to relative data from the literature. However, the surgeon should always be aware of how to use the free hand technique in case of malfunctioning of the system.
first_indexed 2024-04-13T16:18:01Z
format Article
id doaj.art-41c7cf5516034fe8b7a51d50639e6eb8
institution Directory Open Access Journal
issn 1008-1275
language English
last_indexed 2024-04-13T16:18:01Z
publishDate 2016-12-01
publisher Elsevier
record_format Article
series Chinese Journal of Traumatology
spelling doaj.art-41c7cf5516034fe8b7a51d50639e6eb82022-12-22T02:40:00ZengElsevierChinese Journal of Traumatology1008-12752016-12-0119635836110.1016/j.cjtee.2016.06.010A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experienceGuido AntoniniWilfried StuflesserCornelio CrippaGeorgios TouloupakisPurpose: To describe our clinical experience with a system named SureShot™ Distal Targeting (Smith & Nephew, Memphis, USA) based on magnetic field presence and discuss our suggestions on this technique. Methods: We analysed prospectively 47 patients affected by humeral, tibial or femoral fractures, treated in our institution during a 3-year period of time (August 2010 to September 2013). We considered the following parameters: the time to set up, the time to position a single screw, the effectiveness of the system (drilling ad screwing), the irradiation exposure time during distal locking procedure and surgical complications. Results: A total number of 96 screws were inserted. The mean preparation time of the device was 5.1 min ± 2 min (range 3–10 min). The mean time for single screw targeting was 5.8 min ± 2.3 min (range 4–18 min). No major complications occurred. Only a few locking procedures were needed to be practiced in order to obtain the required expertise with this targeting device. Conclusion: According to our results, this device is reliable and valid whenever the correct technique is followed. It is also user friendly, exposes to lower radiation and needs less surgical time compared to relative data from the literature. However, the surgeon should always be aware of how to use the free hand technique in case of malfunctioning of the system.http://www.sciencedirect.com/science/article/pii/S1008127516301092Intramedullary nailingSureShotDistal lockingRadiation exposureElectromagnetic guidance
spellingShingle Guido Antonini
Wilfried Stuflesser
Cornelio Crippa
Georgios Touloupakis
A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
Chinese Journal of Traumatology
Intramedullary nailing
SureShot
Distal locking
Radiation exposure
Electromagnetic guidance
title A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
title_full A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
title_fullStr A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
title_full_unstemmed A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
title_short A distal-lock electromagnetic targeting device for intramedullary nailing: Suggestions and clinical experience
title_sort distal lock electromagnetic targeting device for intramedullary nailing suggestions and clinical experience
topic Intramedullary nailing
SureShot
Distal locking
Radiation exposure
Electromagnetic guidance
url http://www.sciencedirect.com/science/article/pii/S1008127516301092
work_keys_str_mv AT guidoantonini adistallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT wilfriedstuflesser adistallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT corneliocrippa adistallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT georgiostouloupakis adistallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT guidoantonini distallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT wilfriedstuflesser distallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT corneliocrippa distallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience
AT georgiostouloupakis distallockelectromagnetictargetingdeviceforintramedullarynailingsuggestionsandclinicalexperience