CT-guided robotically-assisted infiltration of foot and ankle joints

Minim Invasive Ther Allied Technol. 2009;18(5):291-6. doi: 10.1080/13645700903059193.

Abstract

It was our aim to describe a CT-guided robotically-assisted infiltration technique for diagnostic injections in foot and ankle orthopaedics. CT-guided mechatronically-assisted joint infiltration was performed on 16 patients referred to the orthopaedic department for diagnostic foot and ankle assessment. All interventions were performed using an INNOMOTION-assistance device on a multislice CT scanner in an image-guided therapy suite. Successful infiltration was defined as CT localization of contrast media in the target joint. Additionally, pre- and post-interventional VAS pain scores were assessed. All injections (16/16 joints) were technically successful. Contrast media deposit was documented in all targeted joints. Significant relief of pain was noted by all 16 patients (p<0.01). CT-guided robotically-assisted intervention is an exact, reliable and safe application method for diagnostic infiltration of midfoot and hindfoot joints. The high accuracy and feasibility in a clinical environment make it a viable alternative to the commonly used fluoroscopic-guided procedures.

MeSH terms

  • Adult
  • Ankle Joint / diagnostic imaging
  • Arthralgia / diagnosis*
  • Contrast Media / administration & dosage*
  • Feasibility Studies
  • Female
  • Foot Joints / diagnostic imaging
  • Humans
  • Injections, Intra-Articular
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Robotics*
  • Tomography, X-Ray Computed / methods*
  • Young Adult

Substances

  • Contrast Media