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A novel method to assess intraarticular screw penetration into the joint space

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dc.contributor.authorCeylan, Hasan Huseyin
dc.contributor.authorErden, Tunay
dc.contributor.authorKAPICIOĞLU, Mehmet
dc.contributor.authorKÜÇÜKDURMAZ, FATİH
dc.contributor.institutionauthorKAPICIOĞLU, MEHMET
dc.date.accessioned2020-08-31T20:59:10Z
dc.date.available2020-08-31T20:59:10Z
dc.date.issued2020-01-01T00:00:00Z
dc.description.abstractObjectives: This study aims to propose a novel method to detect articular penetration of screws by relying on their electrical conductivity properties and control the validity of this method. Materials and methods: In this ex vivo study, conducted between June 2017 and August 2017, we used five fresh sheep shoulder joints. First, the shoulder joint space was filled with saline solution. An insulated cannula was placed in the joint capsule, and a conductive wire was introduced into the joint via this cannula. A single titanium screw was inserted from the tuberculum majus into the posteroinferior quadrant of the humeral head under fluoroscopic observation. Conductivity was continuously measured using a digital multimeter. When a sudden decrease in conduction resistance was detected, fluoroscopic images were obtained in the anteroposterior (AP) and lateral directions. These images were assessed for penetration by a blinded surgeon. Penetration was confirmed by dissection of the joint. Results: There was a significant decrease in electrical resistance when screw penetration occurred (p<0.001). All penetration events were confirmed using our novel method. For all five of the specimens, either AP or lateral images could not be used to confirm penetration. For two of these specimens, penetration was undetectable in both AP and lateral fluoroscopic images, but a decrease in resistance was recorded. Conclusion: The described method exhibits greater sensitivity and accuracy for metal penetration to joint, and it is effective in detecting screws in the joints. The novel method described in this paper was applied in a prototype setting, and we believe that this concept can continue to be developed.
dc.identifier.citationCeylan H. H. , Erden T., KAPICIOĞLU M., KÜÇÜKDURMAZ F., -A novel method to assess intraarticular screw penetration into the joint space-, JOINT DISEASES AND RELATED SURGERY, cilt.31, ss.218-222, 2020
dc.identifier.doi10.5606/ehc.2020.71764
dc.identifier.scopus85089381622
dc.identifier.trdizinDOI: https://doi.org/10.5606/ehc.2020.71764
dc.identifier.trdizintrdizin
dc.identifier.urihttp://hdl.handle.net/20.500.12645/18465
dc.identifier.wosWOS:000545984600008
dc.language.isoen
dc.titleA novel method to assess intraarticular screw penetration into the joint space
dc.typeArticle
dspace.entity.typePublication
local.avesis.id0a63048a-045e-4e74-bf28-1a317f7e0297
local.publication.isinternational1
relation.isAuthorOfPublication33bea6eb-2819-4537-8544-beab26dc66f0
relation.isAuthorOfPublication.latestForDiscovery33bea6eb-2819-4537-8544-beab26dc66f0
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