Robotic distal locking of intramedullary nailing: Technical description and cadaveric testing

Abstract
Interlocked intramedullary nailing is the treatment of choice for femoral shaft fractures. However, distal locking is a technically challenging part of the procedure that can result in distal femoral malrotation and high radiation exposure. We have tested a robotic procedure for robotic distal locking based on the computation of a drilling trajectory on two calibrated fluoroscopic images. Twenty distal holes were attempted in ten cadaveric femur specimens. Successful screw hole drilling was achieved at the first attempt in each of the ten specimens (20 drill holes in total). No failures were recorded. The average total number of images needed was 6.5 +/− 3.6. The average computation time was 16.5+/− 16.0 seconds. Robotic distal locking was feasible in this test and can be integrated into a fully robotic intramedullary nailing procedure.

Source: The International Journal of Medical Robotics and Computer Assisted Surgery - May 23, 2017 Category: Surgery Authors: Martin Panzica, Eduardo M. Suero, Ralf Westphal, Musa Citak, Emmanouil Liodakis, Nael Hawi, Max Petri, Christian Krettek, Timo Stuebig Tags: ORIGINAL ARTICLE Source Type: research