Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/636774
Help surgeons and patients avoid costly, danger- ous reoperations with Ziehm Vision RFD 3D. With all the advantages, including lower blood loss and quicker recovery, many physicians are moving toward "minimally invasive" orthopedic surgery. But for some kinds of procedures, mini- mally invasive surgery poses its own risks. On average, 40% of calcaneus and 10% of spinal implants are not placed in the optimal position* on the first try. Misplacement can necessitate a costly, inefficient revision surgery that prolongs recovery time. Worse, especially if the operation is in a region like the upper cervical spine, a sec- ond operation once again exposes the patient to nerve damage leading to serious complications like paralysis. Fortunately, new technology can help obviate the need for reoperations. Studies have proven that 97.1% of misplacements can be detected intraoperatively.** Just ask Dr. Jan- Sven Jarvers, Department of Orthopedic, Trauma and Plastic Surgery at the University of Leipzig. In one of his recent cases, a 67-year-old male patient suf- fered a dislocated ondontoid fracture type II. Using Ziehm Vision FD Vario 3D and Ziehm Vision RFD 3D in parallel, Dr. Jarvers inserted K-wires and then placed two cannu- lated screws in the anterior spine. Immediately follow- ing screw place- ment, the team draped the patient, hyperoxygenated him, stopped the breathing, exited the OR, acquired and recon- structed the image. The entire process took less than 5 minutes. In this case, the fracture was properly reduced and the screw placement was satisfactory. No correction was required. The powerful Ziehm Vision RFD 3D gives sur- geons superior intraoperative control of implants,. The image quality is comparable to that of a CT-scan, and the image can be acquired in minutes. The end result: shorter recovery times, many fewer surgical revisions, and happier facilities, doctors and patients. For more information, please visit: www.ziehm.com Increasing surgical confidence with intraoperative 3D information * J. von Recum, K. Wendl, B. Vock, P. A. Grützner, J. Franke, "Die intraoperative 3D-C-Bogen- Anwendung. State of the art." Der Unfallchirurg, 3/2012, Page 196 – 201. ** M . Beck, K. Moritz, P. Gierer, G. Gradl, C. Harms, T. Mittlmeier, "Intraoperative Control of Pedicle Screw Position using Three-Dimensional Fluoroscopy. A Prospective Study in Thoracolumbar Fractures." Zeitschrift für Orthopädie und Unfallchirurgie, 2009, Page 37 - 42. ADVERTORIAL Intraoperative imaging during surgery using two C-arms in parallel.