Distal Targeter vs Free-hand

Status Completed

Clinical Trial Summary

This study is a randomized controlled trial comparing the use of two different surgical techniques--free-hand versus distal targeting jig-based for distal interlock screw--placement and their effects on total operative time and intraoperative radiation exposure.

Clinical Trial Description

Interlocking screw placement in intramedullary nailing of femoral and tibial shaft fractures improves rotational and length stability. However, free-hand perfect circle techniques can be technically challenging and may take up to an hour with increased radiation exposure to the surgeon and patient. Newer technologies aimed at reducing fluoroscope use such as electromagnetically-based aiming devices may increase the operative time. Proximally-based jigs have been shown to reduce fluoroscopy time in cadavers, however, have not been studied clinically. This study is a prospective, randomized controlled trial comparing a modern proximally-based distal targeting device and free-hand techniques for placement of interlocking screws in lower extremity nailing. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05613257
Study type	Interventional
Source	Cedars-Sinai Medical Center
Contact
Status	Completed
Phase	N/A
Start date	October 31, 2022
Completion date	February 1, 2024

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