• Injury · May 2020

    Review

    Evolution of imaging in surgical fracture management.

    • Christian von Rüden, Oliver Trapp, Peter Augat, Fabian M Stuby, and Jan Friederichs.
    • Department of Trauma Surgery, BG Trauma Center Murnau, Murnau, Germany; Institute for Biomechanics, BG Trauma Center Murnau, Murnau, Germany; Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria. Electronic address: christian.vonrueden@bgu-murnau.de.
    • Injury. 2020 May 1; 51 Suppl 2: S51-S56.

    AbstractIntraoperative imaging has been advanced substantially over the last decades. It supports localization of the region of interest, verification of the preoperatively classified fracture pattern, identification of correct insertion point of the implant, placement of instruments and fixation material, and verification of correct fracture reduction and implant positioning. While conventional fluoroscopic 2D imaging remains the gold standard in intraoperative imaging, critical anatomical regions are predestined for intraoperative 3D imaging. Additional options such as perioperative virtual planning, simulation, and surgical training, 3D printing techniques and 3D augmented reality visualization may potentially open new windows to improve surgical results in fracture care. This manuscript presents an update on current and upcoming imaging techniques in orthopaedic and trauma surgery focusing on technical advances for decreasing malreduction, malalignment, and malposition, as well as tips and tricks for daily surgical practice in order to improve clinical outcomes and patients' and surgeons' safety.Copyright © 2019 Elsevier Ltd. All rights reserved.

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