Complications resulting from tracker pin-sites in computer navigated knee replacement surgery / Anna Thomas in Acta Orthopaedica Belgica, Vol.81/4 (Décembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.708-712 Titre : Complications resulting from tracker pin-sites in computer navigated knee replacement surgery Type de document : texte imprimé Auteurs : Anna Thomas ; Gopalakrishna Pemmaraju ; Gurpreet Nagra Année de publication : 2015 Article en page(s) : p.708-712 Langues : Anglais (eng) Résumé : Intra-osseous pin sites used in Computer Navigated knee Arthroplasty are known to cause complications including infection, neurovascular injury, thermal necrosis and peri-prosthetic fracture. Many studies have looked at ways of reducing these risks to improve results in computer-navigated surgery. We present our complication rates and techniques used to reduce complications in a retrospective study of 321 patients performed by a single surgeon in between 2009 and 2013. One patient was identified with a superficial pin site infection. No major complications were recorded during a mean follow up period of 31 months. Attention to detail in every aspect of pin insertion reduces the rates of both minor and major complications. In particular rates of peri-prosthetic fracture were shown to be lower when using a unicortical drilling technique compared with the use of bicortical drilling in other studies. Permalink : ./index.php?lvl=notice_display&id=42355 [article] Complications resulting from tracker pin-sites in computer navigated knee replacement surgery [texte imprimé] / Anna Thomas ; Gopalakrishna Pemmaraju ; Gurpreet Nagra . - 2015 . - p.708-712. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.708-712 Résumé : Intra-osseous pin sites used in Computer Navigated knee Arthroplasty are known to cause complications including infection, neurovascular injury, thermal necrosis and peri-prosthetic fracture. Many studies have looked at ways of reducing these risks to improve results in computer-navigated surgery. We present our complication rates and techniques used to reduce complications in a retrospective study of 321 patients performed by a single surgeon in between 2009 and 2013. One patient was identified with a superficial pin site infection. No major complications were recorded during a mean follow up period of 31 months. Attention to detail in every aspect of pin insertion reduces the rates of both minor and major complications. In particular rates of peri-prosthetic fracture were shown to be lower when using a unicortical drilling technique compared with the use of bicortical drilling in other studies. Permalink : ./index.php?lvl=notice_display&id=42355

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