Tips
Computerized Fluoroscopic-Based Navigation-Assisted Intramedullary Nailing
Am J Orthop. 2007 November;36(11):582-585
Author and Disclosure Information
Amal Khoury, MD, Meir Liebergall, MD, Yoram Weil, MD, and Rami Mosheiff, MD
Dr. Khoury is Attending Orthopedic Surgeon and Instructor, Dr. Liebergall is Chairman and Associate Professor, Dr. Weil is Attending Orthopedic Surgeon and Instructor, and Dr. Mosheiff is Attending Orthopedic Surgeon and Associate Professor, Department of Orthopedic Surgery, Hadassah University Hospital, Jerusalem, Israel.
Intramedullary nailing, a fixation method commonly used for most diaphyseal fractures, relies heavily on fluoroscopy and delivers a significant amount of radiation to both patient and surgical team. Fluoroscopy-based computerized navigation enables accuracy in implant placement and minimizes soft-tissue dissection while reducing radiation. Navigation facilitates intramedullary nailing in determining entry-point location, insertion of locking and blocking screws, and nail and screw length measurement. We refer to our preliminary experience with 150+ cases to describe the technique of navigation-based intramedullary nailing and its various applications.