Eight years' experience with intraoperative three-dimensional imaging. A critical review

被引:3
|
作者
Wendl, K. [1 ]
Vock, B. [1 ]
von Recum, J. [1 ]
Gruetzner, P. A. [2 ]
Wentzensen, A. [1 ]
机构
[1] BG Unfallklin Ludwigshafen, Klin Unfallchirurg & Orthopad, Ludwig Guttmann Str 13, D-67071 Ludwigshafen, Germany
[2] Katharinenhosp Stuttgart, Klin Unfallchirurg & Orthopad, Stuttgart, Germany
关键词
Iso-C3D; Three-dimensional imaging; Intraoperative control; Intraoperative revision; Quality of surgery;
D O I
10.1007/s10039-009-1502-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Mobile C-arms with three-dimensional (3D) imaging, such as the Iso-C3D, allow for intraoperative 3D visualization of anatomic areas having complex 3D structures, such as articular surfaces. Over an 8-year period we performed 1,841 intraoperative control scans following osteosynthesis. For these patients we registered the number of intraoperative adjustments of fracture reduction and implant position in correlation to the area of surgery. Most intraoperative examinations in these patients were done for fractures of the calcaneus (20.5%) or the upper ankle joint (13.2%). We intraoperatively improved the reduction or implant position in 21.5% of the patients altogether. The majority of intraop-erative revisions were done in cases of osteosynthesis of the calcaneus (40.3%), injuries of the upper ankle joint (30.9%), or fractures of the distal tibia (29%). The revision rate over time was very stable. The intraoperative need to revise a reduction or implant position is not rare in our experience, and intraoperative 3D imaging is a valid tool to recognize and adjust suboptimal reduction or implant positioning.
引用
收藏
页码:177 / 182
页数:6
相关论文
共 50 条
  • [31] Utility of Intraoperative Three-Dimensional Imaging at the Hip and Knee Joints with and without Navigation
    Huefner, Tobias
    Stuebig, Timo
    Citak, Musa
    Goesling, Thomas
    Krettek, Christian
    Kendoff, Daniel
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2009, 91A : 33 - 42
  • [32] Intraoperative Three-Dimensional Imaging of Neck Tissues Based on Optical Coherence Tomography
    Hou Fang
    Yang Zihan
    Gu Wenqing
    Yu Yang
    Zhao Jingzhu
    Liang Yanmei
    ACTA OPTICA SINICA, 2019, 39 (01)
  • [33] Intraoperative three-dimensional imaging to monitor selective decompression in lumbar spinal stenosis
    Mauer, U. M.
    Kunz, U.
    ORTHOPADE, 2006, 35 (12): : 1258 - 1260
  • [34] Three-dimensional assessment of radiation-induced pulmonary injury with sequential SPECT perfusion imaging.
    Zahedi, A
    Destine, M
    Vander Borght, T
    Hermans, C
    Keyeux, A
    Baudoux, A
    Salamon, E
    Willemart, B
    JOURNAL OF NUCLEAR MEDICINE, 1999, 40 (05) : 196P - 197P
  • [35] Filicide: A review of eight years of clinical experience
    Farooque, R
    Ernst, FA
    JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 2003, 95 (01) : 90 - 94
  • [36] A review of eight years' experience with brain tumors
    Sachs, E
    ARCHIVES OF SURGERY, 1920, 1 (01) : 74 - 84
  • [37] Neuronavigation by Intraoperative three-dimensional ultrasound: Initial experience during brain tumor resection
    Unsgaard, G
    Ommedal, S
    Muller, T
    Gronningsaeter, A
    Hernes, TAN
    NEUROSURGERY, 2002, 50 (04) : 804 - 812
  • [38] Intraoperative three-dimensional visualization in microvascular decompression
    Tanrikulu, Levent
    Hastreiter, Peter
    Troescher-Weber, Regina
    Buchifelder, Michael
    Naraghi, Ramin
    JOURNAL OF NEUROSURGERY, 2007, 107 (06) : 1137 - 1143
  • [39] Intraoperative Three-Dimensional Echocardiography: Ready for PrimeTime?
    Shernan, Stanton K.
    JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2009, 22 (01) : 27A - 28A
  • [40] An update on intraoperative three-dimensional transesophageal echocardiography
    Rong, Lisa Qia
    JOURNAL OF THORACIC DISEASE, 2017, 9 : S271 - S282