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10.1186/s13037-015-0087-0

http://scihub22266oqcxt.onion/10.1186/s13037-015-0087-0
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C4689049!4689049!26702301
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suck abstract from ncbi


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pmid26702301      Patient+Saf+Surg 2015 ; 9 (ä): ä
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  • Arthroscopically guided navigation for repair of acromioclavicular joint dislocations: a safe technique with reduced intraoperative radiation exposure #MMPMID26702301
  • Theopold J; Marquass B; von Dercks N; Mütze M; Henkelmann R; Josten C; Hepp P
  • Patient Saf Surg 2015[]; 9 (ä): ä PMID26702301show ga
  • Background: Accuracy evaluation of navigated image free placement of double cortical fixation buttons for coracoclavicular tunnel position in comparison to conventional drill guide based placement. Methods: Twenty-six patients with acute acromioclavicular joint instability were included in this non-randomized cohort study. All patients were treated with a Double- TightRope technique. In 13 cases the conventional drill guide based placement was used (group 1). In 13 patients surgery was performed as a navigated procedure with a fluoro-free optoelectronic system (group 2). The number of coracoclavicular drillings per patient (First pass accuracy; FPA (%)) was documented, the subcoracoidal position of the fixation buttons has been evaluated and graded as ?intended position achieved (IPA)? or ?intended position not achieved (IPnA)?. Results: In group 1 drilling had to be repeated in four patients (30.8 %) to achieve proper placement of the subcoracoidal fixation buttons. 100 % first pass accuracy was observed in group 2 (p?=?0.03). In group 1, the intended position of the subcoracoid buttons was not achieved (IPnA) in six patients (46.2 %). In group 2 all intended positions were achieved (p?=?0.005). Conclusion: Arthroscopic controlled fluoro-free navigated coracoclavicular drilling for the repair of acromioclavicular joint dislocation has higher first pass accuracy in comparison to conventional drill guide based placement. Therefore the navigation enables a precise position of the drill holes, may reduce the risk of an iatrogenic coracoid fracture and migration of fixation devices. Trial registration: Local institutional review board No. 061-14-10032014
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