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01.12.2016 | Research article | Ausgabe 1/2016 Open Access

BMC Musculoskeletal Disorders 1/2016

A new adjustable parallel drill guide for internal fixation of femoral neck fracture: a developmental and experimental study

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2016
Autoren:
Varah Yuenyongviwat, Pakjai Tuntarattanapong, Boonsin Tangtrakulwanich
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contribution

VY, PJ, and BT were involved in the design, literature search and data interpretation. PJ participated in the data collection. VY conducted the statistical analysis and prepared the first draft. All authors read and approved the final manuscript.

Abstract

Background

Internal fixation is one treatment for femoral neck fracture. Some devices and techniques reported improved accuracy and decreased fluoroscopic time. However, these are not widely used nowadays due to the lack of available special instruments and techniques. To improve the surgical procedure, the authors designed a new adjustable drill guide and tested the efficacy of the device.

Methods

The authors developed a new adjustable drill guide for cannulated screw guide wire insertion for multiple screw fixation. Eight orthopaedic surgeons performed the experimental study to evaluate the efficacy of this device. Each surgeon performed guide wire insertion for multiple screw fixation in six synthetic femurs: three times with the new device and three times with the conventional technique. The fluoroscopic time, operative time and surgeon satisfaction were evaluated.

Results

In the operations with the new adjustable drill guide, the fluoroscopic and operative times were significantly lower than the operations with the conventional technique (p < 0.05). The mean score for the level of satisfaction of this device was also statistically significantly better (p = 0.02) than the conventional technique.

Conclusions

The fluoroscopic and operative times with the new adjustable drill guide were reduced for multiple screw fixation of femoral neck fracture and the satisfaction of the surgeons was good.
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