Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy
While the insertion of the arthroscope into the elbow joint is relatively easy based on anatomical landmarks, obtaining a correctly located instrument portal is often difficult. Therefore, the goal of the study was to create a 3D-printed prototype of an aiming device for the guiding needle, and to c...
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| Format: | Article |
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MDPI AG
2023-11-01
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| Series: | Animals |
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| Online Access: | https://www.mdpi.com/2076-2615/13/23/3592 |
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| author | Piotr Trębacz Jan Frymus Anna Barteczko Mateusz Pawlik Aleksandra Kurkowska Michał Czopowicz |
| author_facet | Piotr Trębacz Jan Frymus Anna Barteczko Mateusz Pawlik Aleksandra Kurkowska Michał Czopowicz |
| author_sort | Piotr Trębacz |
| collection | DOAJ |
| description | While the insertion of the arthroscope into the elbow joint is relatively easy based on anatomical landmarks, obtaining a correctly located instrument portal is often difficult. Therefore, the goal of the study was to create a 3D-printed prototype of an aiming device for the guiding needle, and to check its feasibility. The study included fresh cadavers of 15 dogs, 9 males and 6 females, aged from 1 to 6 years (median 4 years) with body weight from 17 to 57 kg (median 30 kg). On each dog, we compared the number of attempts needed to obtain optimal direction of the guiding needle for the portal, using one elbow the prototype, and performing this as control on the opposite joint without the prototype (with a free hand). The number of attempts needed was significantly lower using the prototype (median 1) than on the control elbows (median 2, <i>p</i> = 0.009). The number of attempts was not correlated with the body weight neither in the case of experimental (R<sub>s</sub> = 0.18, <i>p</i> = 0.532) nor control elbows (R<sub>s</sub> = 0.13, <i>p</i> = 0.642). We conclude that the used prototype seems to be helpful in elbow joint arthroscopy. |
| first_indexed | 2024-03-09T01:56:37Z |
| format | Article |
| id | doaj.art-def02681fdf745018ecf169d420c1476 |
| institution | Directory Open Access Journal |
| issn | 2076-2615 |
| language | English |
| last_indexed | 2024-03-09T01:56:37Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Animals |
| spelling | doaj.art-def02681fdf745018ecf169d420c14762023-12-08T15:10:23ZengMDPI AGAnimals2076-26152023-11-011323359210.3390/ani13233592Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow ArthroscopyPiotr Trębacz0Jan Frymus1Anna Barteczko2Mateusz Pawlik3Aleksandra Kurkowska4Michał Czopowicz5Department of Surgery and Anaesthesiology of Small Animals, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C Street, 02-776 Warsaw, PolandDepartment of Surgery and Anaesthesiology of Small Animals, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C Street, 02-776 Warsaw, PolandCabiomede Ltd., ul. Karola Olszewskiego 21, 25-663 Kielce, PolandCabiomede Ltd., ul. Karola Olszewskiego 21, 25-663 Kielce, PolandCabiomede Ltd., ul. Karola Olszewskiego 21, 25-663 Kielce, PolandDivision of Veterinary Epidemiology and Economics Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C Street, 02-776 Warsaw, PolandWhile the insertion of the arthroscope into the elbow joint is relatively easy based on anatomical landmarks, obtaining a correctly located instrument portal is often difficult. Therefore, the goal of the study was to create a 3D-printed prototype of an aiming device for the guiding needle, and to check its feasibility. The study included fresh cadavers of 15 dogs, 9 males and 6 females, aged from 1 to 6 years (median 4 years) with body weight from 17 to 57 kg (median 30 kg). On each dog, we compared the number of attempts needed to obtain optimal direction of the guiding needle for the portal, using one elbow the prototype, and performing this as control on the opposite joint without the prototype (with a free hand). The number of attempts needed was significantly lower using the prototype (median 1) than on the control elbows (median 2, <i>p</i> = 0.009). The number of attempts was not correlated with the body weight neither in the case of experimental (R<sub>s</sub> = 0.18, <i>p</i> = 0.532) nor control elbows (R<sub>s</sub> = 0.13, <i>p</i> = 0.642). We conclude that the used prototype seems to be helpful in elbow joint arthroscopy.https://www.mdpi.com/2076-2615/13/23/3592elbow arthroscopyaiming device3D-printed prototype |
| spellingShingle | Piotr Trębacz Jan Frymus Anna Barteczko Mateusz Pawlik Aleksandra Kurkowska Michał Czopowicz Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy Animals elbow arthroscopy aiming device 3D-printed prototype |
| title | Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy |
| title_full | Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy |
| title_fullStr | Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy |
| title_full_unstemmed | Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy |
| title_short | Accuracy of Instrument Portal Placement Using a Custom-Made 3D-Printed Aiming Device versus Free Hand Technique in Canine Elbow Arthroscopy |
| title_sort | accuracy of instrument portal placement using a custom made 3d printed aiming device versus free hand technique in canine elbow arthroscopy |
| topic | elbow arthroscopy aiming device 3D-printed prototype |
| url | https://www.mdpi.com/2076-2615/13/23/3592 |
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