Closed Fracture Reduction Using Motorized Remote Controlled Reduction Device

ABSTRACT

The objective of this study was to test clinically one new portable, motorised, remote controlled fracture reduction device. In vivo fluoroscopic analysis of the function of the device. Radiation exposure of the surgical team during fluoroscopy is one potential danger for the health. Minimal invasive surgery searching for reduction device which will hold position of the fragments during the fixation. Visual analysis was performed in 20 bone models (n=20) and fluoroscopic in vivo (n=6) closed fracture reduction using motorised, remote controlled reduction device. In vivo results showed average closed tibial and femoral fracture reduction for 96 sec. Reduction was successful in all patients. Position of the fragments was held until definitive fixation. Motorised remote controlled device is helpful in obtaining relatively quick fracture reduction with reducing of irradiation exposure of the surgical team and in holding of achieved reduction. Remote controlled, motorised reduction device reduces irradiation exposure of the surgical team, but also minimally invasive fixation methods could take advantage of easy reduction and holding of the fragment position until fixation. Motorised reduction device could be useful tool implemented in computer added reduction and robot.