Percutaneous navigated screw fixation of glenoid fractures.
Arch Orthop Trauma Surg
; 133(5): 627-33, 2013 May.
Article
em En
| MEDLINE
| ID: mdl-23417114
ABSTRACT
BACKGROUND:
Open or percutaneous arthroscopic-based procedures are reported to fix unstable or displaced intra-articular glenoid fractures. Approach related morbidity has to be considered for open procedures, and arthroscopic-based procedures are demanding. Therefore an alternative percutaneous navigated approach is described. TECHNICAL PROCEDURE In an experimental setting an operative workflow was simulated to evaluate the best position of the patient on the operation table, the operating room set up and the fixation technique for the dynamic reference base of the navigation system. Based on two clinical cases, screw fixation of glenoid fractures via a posterior percutaneous approach is described, using a 2D-fluoroscopic based navigation system. Compared to the common approaches, the advantages and disadvantages of this procedure are discussed.CONCLUSION:
The described technique of percutaneous navigated screw fixation of glenoid fractures is an alternative minimal invasive procedure. A reduction of approach related morbidity and more rapid return to function could be expected. The intraoperative results and postoperative functional outcome of both cases are promising.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escápula
/
Fraturas Intra-Articulares
/
Fixação Interna de Fraturas
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Alemanha