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Iliosacral screw fixation in the Hybrid OR

Iliosacral screw fixation in the Hybrid ORPelvic ring fracture surgery with robotic image guidance

Our robotic C-arm ARTIS pheno permits intraoperative 3D screw path planning, guides you during k-wire and screw insertion, and allows you to control the results immediately using 3D imaging.

Meeting the growing demand for iliosacral joint fixation
More and more elderly patients, especially those with osteoporosis, are suffering from fragility fractures. Treatment using conventional open fixation surgery involves large wounds, long hospital stays, and a high risk of complications. Percutaneous iliosacral screw insertion is a viable minimally invasive alternative but requires extreme precision, since long screws can injure nerves or arteries if they are not inserted exactly within the planned corridor. ARTIS pheno supports pelvic ring fracture surgery thanks to intraoperative 3D screw path planning and real-time guidance via 2D fluoroscopy. The system also lets you evaluate pelvic ring fracture reduction and screw placement results with cone-beam CT imaging in just 4 seconds.
 

Discover our iliosacral screw fixation workflow

ARTIS pheno allows you to focus on optimal screw placement. The robotic C-arm system provides support throughout the procedure, from intraoperative screw path planning up to intraoperative guidance and assessment of screw positioning.

Iliosacral-screw-fixation-in-the-Hybrid-OR-hotspot-bg

    Images courtesy of Luzerner Kantonspital, Lucerne, Switzerland 2019

    Hear what our customers are saying

    "I use syngo Needle Guidance for treating posterior pelvic ring fractures because it’s a real time saver. Minimally invasive screw fixation of pelvic fractures allows our patients to walk again just one day after the surgery."
    Björn-Christian Link1, MDDeputy Head Physician, Department of Orthopedic and Trauma Surgery, Luzerner Kantonspital, Lucerne, Switzerland
    Björn-Christian Link1, MD
    Deputy Head Physician, Department of Orthopedic and Trauma Surgery, Luzerner Kantonspital, Lucerne, Switzerland

    Review the clinical evidence

    ARTIS pheno supports you in performing minimally invasive iliosacral screw fixation.

    Percutaneous iliosacral screw fixation in the Hybrid OR

    Percutaneous iliosacral screw fixation in the Hybrid OR

    Minimally invasive treatment of dorsal pelvic fractures involves a higher risk of misplaced fixation screws. In case of cortical and neuroforaminal perforations, nerves and arteries may be injured. Our assisted Hybrid OR workflow helps reduce these perforations by approximately 15% compared to navigated screw insertion with a mobile C-arm as shown in a study with 61 patients.2

    Our Hybrid OR imaging solutions

    The statements with footnotes in this document are based on a result of the quoted clinical study that evaluates the procedure. The results are not generated with the actual product version. It is expected that the actual product version has similar or improved functionality to support the evaluated procedure.
    Some/All of the features and products described herein may not be available in the United States or other countries.
    1
    Is employed by an institution that receives financial support from Siemens Healthineers for collaborations and/or receives financial support from Siemens Healthineers for collaborations.
    2
    Peter Hinnerk Richter et al., “Accuracy of Computer-Assisted Iliosacral Screw Placement Using a Hybrid Operating Room,” Injury 47, no. 2 (2016): 402–7, https://www.ncbi.nlm.nih.gov/pubmed/26708797.