- •The Stryker Gamma3® Distal Targeting System was found to significantly decrease radiation exposure (77% lower) compared to the freehand “perfect circles” method.
- •Use of the distal targeting system resulted in significantly decreased time from lag screw placement to placement of distal interlocking screw (60% lower).
- •Fluoroscopy time was significantly less using the distal targeting system compared to the perfect circles method (64% lower).
- •There were zero misdrillings with the distal targeter and no difference in complications at 30 and 90 days versus the perfect circles method.
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- Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register.Injury. 2013; 44: 735-742https://doi.org/10.1016/j.injury.2012.12.010
- Cephalomedullary nail versus sliding hip screw for unstable intertrochanteric fractures in elderly patients.J Orthop Surg (Hong Kong). 2013; 21: 308-312https://doi.org/10.1177/230949901302100309
- Literature review of current techniques for the insertion of distal screws into intramedullary locking nails.Injury. 2006; 37: 109-119https://doi.org/10.1016/j.injury.2005.09.009
- Surgical Technique: Static Intramedullary Nailing of the Femur and Tibia Without Intraoperative Fluoroscopy.Clin Orthop Relat Res. 2011; 469: 3469-3476https://doi.org/10.1007/s11999-011-1829-7
- Computer assisted orthopaedic surgical system for insertion of distal locking screws in intra-medullary nails: a valid and reliable navigation system.The International Journal of Medical Robotics and Computer Assisted Surgery. 2005; 1: 34-44https://doi.org/10.1002/rcs.54
- Computerized fluoroscopic-based navigation-assisted intramedullary nailing.Am J Orthop (Belle Mead NJ). 2007; 36: 582-585
- A comparison of free-hand method and electromagnetic navigation technique for the distal locking during intramedullary nailing procedures: a meta-analysis.Arch Orthop Trauma Surg. 2021; 141: 45-53https://doi.org/10.1007/s00402-020-03456-w
- Comparison of free-hand fluoroscopic guidance and electromagnetic navigation in distal locking of tibia intramedullary nails.Medicine (Baltimore). 2018; 97https://doi.org/10.1097/MD.0000000000011305
- Distal targeting device for long Gamma nail(®). Monocentric observational study.Orthop Traumatol Surg Res. 2013; 99: 799-804https://doi.org/10.1016/j.otsr.2013.06.006
- Distal interlocking screw placement in the femur: free-hand versus electromagnetic assisted technique (sureshot).J Orthop Trauma. 2014; 28: e281-e283https://doi.org/10.1097/BOT.0000000000000125
- Fracture and Dislocation Classification Compendium-2018.J Orthop Trauma. 2018; 32 (Suppl): S1-S170https://doi.org/10.1097/BOT.0000000000001063
- A new method of classifying prognostic comorbidity in longitudinal studies: development and validation.J Chronic Dis. 1987; 40: 373-383https://doi.org/10.1016/0021-9681(87)90171-8
- Evaluation of the Stryker S2 IM Nail Distal Targeting Device for reduction of radiation exposure: a case series study.Injury. 2008; 39: 1210-1215https://doi.org/10.1016/j.injury.2008.04.020
- Radiation-free distal locking of intramedullary nails: evaluation of a new electromagnetic computer-assisted guidance system.Injury. 2013; 44: 872-875https://doi.org/10.1016/j.injury.2012.08.051
- Fluoroscopic guidance versus surgical navigation for distal locking of intramedullary implants. A prospective, controlled clinical study.Injury. 2004; 35: 567-574https://doi.org/10.1016/S0020-1383(03)00312-7
- Development and testing of a new self-locking intramedullary nail system: testing of handling aspects and mechanical properties.Injury. 2000; 31: 617-626https://doi.org/10.1016/s0020-1383(00)00064-4
- Comparison of our self-designed rotary self-locking intramedullary nail and interlocking intramedullary nail in the treatment of long bone fractures.J Orthop Surg Res. 2014; 9: 47https://doi.org/10.1186/1749-799X-9-47
- Rotary self-locking intramedullary nail for long tubular bone fractures.Chin Med J (Engl). 2013; 126: 3874-3878
- Preliminary Results with the Shape Memory Nail: A Self-contained Distal Locking Mechanism for Diaphyseal Femur Fractures.Strategies Trauma Limb Reconstr. 2019; 14: 115-120https://doi.org/10.5005/jp-journals-10080-1437
- Reducing radiation exposure in intra-medullary nailing procedures: intra-medullary endo-transilluminating (iMET).Injury. 2009; 40: 1084-1087https://doi.org/10.1016/j.injury.2009.04.008
- The AO distal locking aiming device: an evaluation of efficacy and learning curve.Injury. 2001; 32: 713-718https://doi.org/10.1016/s0020-1383(01)00100-0
Backgrounder on Biological Effects of Radiation. United States Nuclear Regulatory Commission. Published July 8, 2020. Accessed May 31, 2022. https://www.nrc.gov/reading-rm/doc-collections/fact-sheets/bio-effects-radiation.html
- Intraoperative radiation safety in orthopaedics: a review of the ALARA (As low as reasonably achievable) principle.Patient Saf Surg. 2016; 10https://doi.org/10.1186/s13037-016-0115-8
- Increased cancer risk among surgeons in an orthopaedic hospital.Occup Med (Lond). 2005; 55: 498-500https://doi.org/10.1093/occmed/kqi048
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Performed at: NYU Langone Orthopedic Hospital, 301 E 17th Street, New York, NY 10029