University of Virginia Health System

Evaluation of a Computer Integrated Surgery technique for percutaneous fixation of acetabular fractures. Computer integrated surgery will allow minimally invasive or percutaneous stabilization of acetabular fractures while minimizing the radiation exposure, questionable sterility, and prolonged operative time associated with the current technique of Computer Tomography-guided percutaneous fixation. The purpose of our study is to assess the applicability of the technique to screw placement in acetabular fracture surgery in terms of accuracy and efficiency, without the benefit of intraoperative radiographic imaging. Other potential applications of the technique include pelvic and femoral osteotomy, internal fixation of pelvic fractures, and treatment of sacro-iliac joint disruption.

Selected Publications:

Martin, D.E., Guskiewicz, K.M., Perrin, D.E., Kahler, D.M. and McCue, F.C.III: Tibial rotation affects anterior displacement on the knee. J Sports Rehabilitation, 3:275-281, 1994.

Kahler, D.M.: Fractures and dislocations of the base of the thumb. [Review] J So Ortho Assoc 4(1):69-76, 1995.

Kalher, D.M.: Traumatic injuries to the hip: Overuse injuries. In Sports Medicine and Sports Injuries. Baker, C. (ed), Lea & Febiger, 1995, pp398-402.

Martin, D.E., Kaplan, P.A., Kahler, D.M., Dussault, R., Randolph, B.J.: Retrospective evaluation of graded stress examination of the ankle. Clin Ortho Related Res 328:165-170, 1996.

Omary, R.A., Kaplan, P.A., Dussault, R.G., Hornsby, P.P., Carter, C.T., Kahler, D.M., Hillman, B.J.: The impact of ankle radiographs on the diagnosis and management of acute ankle injuries. Academic Radiol 3(9):758-765, 1996.

Kahler, D.M., Zura, R.: Evaluation of a computer integrated surgical technique for percutaneous fixation of transverse acetabular fractures. Lecture Notes in Computer Science 1205:565-572, 1997.

Arnold, B.L., Perrin, D.H., Kahler, D.M., Gansneder, B.M., Geick, J.H.: A trend analysis in the in vivo quadriceps femoris angle-specific torque-velocity relationship. J Ortho Sports Physical Therapy 25(5):316-322, 1997.

Kahler, D.M.: Current concepts regarding athletic stress fractures and low bone density. Athletic Therapy Today 2(2):21-24, 1997.

Patel, S.J., Kaplan, P.A., Dussault, R.G., Kahler, D.M.: Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee - MR imagining. Am J Roentgenolgy. 170(6):1551-1555, 1998.

Kahler, D.M.: The back. In The Injured Athlete. 3rd edition, Perrin, D. (3d), Lippincott-Raven (in press).

Kahler, D.M.: The effects of training and overtraining on the skeleton of the female athlete. In The Female Athlete. Iterland, M.L. (ed.), Blackwell Science, Inc. (in press).