{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:57:38Z","timestamp":1775473058302,"version":"3.50.1"},"reference-count":40,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2022,8,27]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;To demonstrate a reduction of risk factors ray-depending in proximal femur nailing of intertrochanteric femur fractures,&amp;lt;br \/&amp;gt;comparing standard technique with computer-assisted navigation system.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;One hundred patients hospitalised between October 2021 and June 2022 with intertrochanteric femur fractures type 31-A1&amp;lt;br \/&amp;gt;and 31-A2 were prospectively enrolled and divided randomly into two groups. A study group was treated with computer-assisted navigation system ATLAS (Masmec Biomed, Modugno, Bari, Italy) (20 patients), while a control group received the standard nailing technique. The same intertrochanteric nail was implanted by a single senior surgeon, Endovis BA 2 (EBA2, Citieffe, Calderara di Reno, Bologna, Italy). The following data were recorded: the setup time of operating room (STOR; minutes); surgical time (ST; minutes); radiation exposure time (ETIR; seconds) and dose area&amp;lt;br \/&amp;gt;product (DAP; cGy&amp;amp;middot;cm2).&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Patients underwent femur nailing with computer-assisted navigation system reported more set-up time of operating room&amp;lt;br \/&amp;gt;(24.87&amp;amp;plusmn;4.58; p&amp;amp;lt;0.01), less surgical time (26.15&amp;amp;plusmn;5.80; p&amp;amp;lt;0.01), less time of radiant exposure (4.84&amp;amp;plusmn;2.07; p&amp;amp;lt;0.01) and lower dose area product (16.26&amp;amp;plusmn;2.91; p&amp;amp;lt;0.01).&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;The preliminary study demonstrated that computerassisted navigation allowed a better surgical technique standardization, significantly reduced exposure to ionizing radiation, including a reduction in surgical time. The ATLAS system could also&amp;lt;br \/&amp;gt;play a key role in residents improving learning curve.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1549-22","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"88-94","source":"Crossref","is-referenced-by-count":4,"title":["Computer-assisted navigation for intramedullary nailing of intertrochanteric femur fractures: a preliminary result"],"prefix":"10.17392","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3585-1000","authenticated-orcid":false,"given":"Michele","family":"Coviello","sequence":"first","affiliation":[{"name":"Azienda Ospedaliero Universitaria Consorziale Policlinico","place":["Bari,Italy"],"department":["Department of Basic Medical Science, Neuroscience and Sensory Organs"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Ippolito","sequence":"additional","affiliation":[{"name":"\"Di Venere\" Hospital, Via Ospedale di Venere, Bari","place":["Bari,Italy"],"department":["Orthopaedic and Traumatology Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"Abate","sequence":"additional","affiliation":[{"name":"\"Di Venere\" Hospital, Via Ospedale di Venere, Bari","place":["Bari,Italy"],"department":["Orthopaedic and Traumatology Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Zavattini","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliero Universitaria Consorziale Policlinico, Bari","place":["Bari,Italy"],"department":["Department of Basic Medical Science, Neuroscience and Sensory Organs"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Zaccari","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliero Universitaria Consorziale Policlinico, Bari","place":["Bari,Italy"],"department":["Department of Basic Medical Science, Neuroscience and Sensory Organs"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Leone","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliero Universitaria Consorziale Policlinico, Bari","place":["Bari,Italy"],"department":["Department of Basic Medical Science, Neuroscience and Sensory Organs"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Noia","sequence":"additional","affiliation":[{"name":"University of Foggia, Policlinico Riuniti di Foggia","place":["Foggia,Italy"],"department":["Orthopaedics Unit, Department of Clinical and Experimental Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Caiaffa","sequence":"additional","affiliation":[{"name":"\"Di Venere\" Hospital, Via Ospedale di Venere, Bari","place":["Bari,Italy"],"department":["Orthopaedic and Traumatology Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Maccagnano","sequence":"additional","affiliation":[{"name":"University of Foggia, Policlinico Riuniti di Foggia","place":["Foggia,Italy"],"department":["Orthopaedics Unit, Department of Clinical and Experimental Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2022,12,1]]},"reference":[{"key":"ref1","first-page":"201","article-title":"Comparison of outcomes of intertrochanteric fracture fixation using percutaneous compression plate between stable and unstable fractures in the elderly","author":"CCarvajal-PedrosaC","year":"2016","unstructured":"Carvajal-Pedrosa C, G\u00f3mez-S\u00e1nchez RC, Hern\u00e1n-\ndez-Cort\u00e9s P. 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World J Orthop 2022; \n18:297-306.","journal-title":"World J Orthop"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2105","DOI":"10.3390\/ijms22042105","article-title":"Osteoporosis in men: a review of an underestimated bone condition","author":"GRinonapoliG","year":"2021","unstructured":"Rinonapoli G, Ruggiero C, Meccariello L, Bisaccia \nM, Ceccarini P, Caraffa A. Osteoporosis in men: a re-\nview of an underestimated bone condition. Int J Mol \nSci 2021; 22:2105.","journal-title":"Int J Mol Sci"},{"key":"ref4","first-page":"31","article-title":"Caraffa A. Osteoporosis in male patients: epidemiology, clinical aspects and DEXA scan assessment","author":"MrgBisacciaMrg","year":"2019","unstructured":"Bisaccia MRG, Meccariello L, Ripani U, Pace V, \nRollo G, Ib\u00e1\u00f1ez-Vicente C, Bisaccia O, G\u00f3mez-\nGarrido D, Guijarro-Leo S, De Masi De Luca A, Ca-\nraffa A. Osteoporosis in male patients: epidemiology, \nclinical aspects and DEXA scan assessment. Clin Ca-\nses Miner Bone Metab 2019; 16:31-5.","journal-title":"Clin Cases Miner Bone Metab"},{"key":"ref5","first-page":"640","article-title":"Outcomes of osteoporotic trochanteric fractures treated with cement-augmented dynamic hip screw","author":"RGuptaR","year":"2012","unstructured":"Gupta RK, Gupta V, Gupta N. Outcomes of osteopo-\nrotic trochanteric fractures treated with cement-au-\ngmented dynamic hip screw. Indian J Orthop 2012; \n46:640-5.","journal-title":"Indian J Orthop"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"13662","DOI":"10.3390\/ijms222413662","article-title":"Obesity and bone: a complex relationship","author":"GRinonapoliG","year":"2021","unstructured":"Rinonapoli G, Pace V, Ruggiero C, Ceccarini P, Bi-\nsaccia M, Meccariello L, Caraffa A. Obesity and \nbone: a complex relationship. 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Orthop Traumatol Surg Res \n2017; 103:685-90.","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref8","first-page":"649","article-title":"Comparison between locked and unlocked intramedullary nails in intertrochanteric fractures","author":"RLanzettiR","year":"2018","unstructured":"Lanzetti RM, Caraffa A, Lupariello D, Ceccarini P, \nGambaracci G, Meccariello L, Manfreda F, Maiettini \nD, Vicente CI, Scialpi M, Bisaccia O, Rinonapoli G, \nBisaccia M. Comparison between locked and unloc-\nked intramedullary nails in intertrochanteric fractu-\nres. Eur J Orthop Surg Traumatol 2018; 28:649-58.","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref9","first-page":"727","article-title":"Early weight bearing after lower extremity fractures in adults","author":"EKubiakE","year":"2013","unstructured":"Kubiak EN, Beebe MJ, North K, Hitchcock R, Potter \nMQ. Early weight bearing after lower extremity \nfractures in adults. 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The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","author":"EVon ElmE","year":"2008","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, \nG\u00f8tzsche PC, Vandenbroucke JP, STROBE Initiati-\nve. The strengthening the reporting of observational \nstudies in epidemiology (STROBE) statement: guide-\nlines for reporting observational studies. J Clin Epide-\nmiol 2008; 61:344-9.","journal-title":"J Clin Epidemiol"},{"key":"ref20","first-page":"1","article-title":"Fracture and Dislocation Classification Compendium -2007","author":"JMarshJ","year":"2007","unstructured":"Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey \nW, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, \nHenley B, Audig\u00e9 L. Fracture and Dislocation Classi-\nfication Compendium -2007. 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A prospective, multicentre, randomised study","author":"VCaiaffaV","year":"2016","unstructured":"Caiaffa V, Vicenti G, Mori C, Panella A, Conserva V, \nCorina G, Scialpi L, Abate A, Carrozzo M, Petrelli \nL, Picca G, Aloisi A, Rollo G, Filipponi M, Freda V, \nPansini A, Puce A, Solarino G, Moretti B. Is distal \nlocking with short intramedullary nails necessary in \nstable pertrochanteric fractures? A prospective, mul-\nticentre, randomised study. Injury 2016; 47:S98-106.","journal-title":"Injury"},{"issue":"11","key":"ref23","article-title":"Italian society of orthopaedics and traumatology. 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