Is it better to choose a Integrated Large size FPD C-arm or a split one?

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C-arm plays an important role in clinical surgery, known as “surgical eyes”, for orthopedic internal fixation surgery, joint replacement surgery, thoracolumbar compression fracture vertebroplasty and other surgeries to provide accurate preoperative positioning, intraoperative fluoroscopic observation, postoperative recovery view and other functions.

Conventional C-arm consists of a host and workstation trolley, the signal transmission between the two is carried out through the signal cable, which is difficult to move in actual use, while the communication distance between the two is limited by the length of the cable, and there are a lot of inconveniences in clinical use.

In order to solve the existing split C-arm communication distance limitations, mobile inconvenience technical problems, some leading digital medical imaging equipment manufacturers have adopted the integrated technology, the traditional C-arm host and workstation trolley into one, launched the integrated C-arm.

At the same time, some people have raised the question “Is the all-in-one C-arm good?” and “Is the C-arm really good? “Is it better to choose a one-piece C-arm or a separate one?” The answer is yes. In fact, both the split type and the one-piece type have their own advantages, and the best choice is the one that suits you.

One-piece C-arm

One-piece C-arm application advantages:

  1. Integrated rack design, so that the equipment covers an area of only about one square meter, can be adapted to a variety of crowded and complex surgical environment, saving surgical space;
  2. The movement of the equipment is more flexible and lightweight, one person can easily implement the machine transfer, with the power-off standby function, a device can meet the use of multiple operating rooms;
  3. There is no workstation binding, to avoid the operating room cluttered with wires and cables brought about by the safety hazards and expensive maintenance costs.
  4. The structure of the all-in-one machine belongs to the high-end models, the current domestic and even the international market, manufacturers are only a few, to improve the hospital’s influence and visibility.

Split C-arm application advantages:

  1. Split structure is designed to facilitate the equipment compartment control, not only to meet the needs of clinical applications, but also suitable for teaching and research scenarios, to avoid the user near the table operation to absorb unnecessary radiation.
  2. The workstation is equipped with a medical display and exposure footlocker, the device is equipped with a medical monitor and handheld controller, indoor and outdoor can be manipulated equipment, to avoid frequent access to the exposure room to adjust the equipment, improve work efficiency.

I believe that many dealers and hospitals will be torn between one-piece and split, want to buy a one-piece, but also worried about one-piece performance is not as good as the split; and want to buy a split, but also feel that the split is not as good as the one-piece to save time and space to take care of. So, one-piece C-arm clinical imaging effect in the end how?

Case one:

The patient was injured in a fall and suffered from lumbar pain after the injury, lumbar 2 vertebral compression fracture, so he was treated with “pedicle screw internal fixation”. The pedicle screws can penetrate from the back of the vertebral body to the front of the vertebral body to achieve three-column fixation of the vertebral body. However, multiple cones have to be operated on during the procedure, so the image is required to show the whole lumbar vertebrae as much as possible.

One-piece C-arm full-segment lumbar spine clinical image

The PLX119C Large flat panel All-in-One C-Arm utilizes a 30CM x 30CM flatbed detector, which can generally image 5 lumbar vertebrae at one time, presenting a wider field of view. It enables the doctor to comprehensively observe the injured vertebrae and the surrounding vertebrae at one time, making the surgery more efficient and accurate.

Case two:

The patient suffered a complete fracture of the left femoral stem and was evaluated and treated with “intramedullary nail internal fixation”. Intramedullary nail fixation requires complete visualization from the point of nail insertion to the fracture site, which in some long bone fractures requires a high range of vision.

Clinical image of the one-piece C-arm from the nail point to the fracture site.

During intramedullary nail fixation, the surgeon needs to observe the nail point and the fracture site at the same time. The PLX119C Large flat panel All-in-One C-Arm is capable of presenting a wider imaging area, which meets most of the needs of intramedullary nail fixation in long bones.

In conclusion, the PLX119C C-arm can obtain a larger field of view and clearer images of the fracture site in orthopedic surgery, such as spine and long bone fracture, which can help the surgeon to understand and evaluate the alignment of the fracture site in time, as well as to measure the length and angle, which can provide a strong support to further improve the quality of the surgery.

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