Möglichkeiten und Grenzen der intraoperativen 2D-Bildgebung in der Unfallchirurgie

Julius Watrinet; Lisa Wenzel; Julian Fürmetz; Peter Augat; Philipp Blum; Claas Neidlein; Markus Bormann; Fabian Stuby; Christian von Rüden

doi:10.1007/s00113-023-01381-2

Möglichkeiten und Grenzen der intraoperativen 2D-Bildgebung in der Unfallchirurgie

Translated title of the contribution: Possibilities and limits of intraoperative 2D imaging in trauma surgery

Julius Watrinet, Lisa Wenzel (First author), Julian Fürmetz, Peter Augat (Co-author), Philipp Blum, Claas Neidlein, Markus Bormann, Fabian Stuby, Christian von Rüden^* (Last author)

^*Corresponding author for this work

Research output: Contribution to journal › Original Article › peer-review

Abstract

BACKGROUND: The two-dimensional (2D) imaging represents an essential and cost-effective component of intraoperative position control in fracture stabilization, even in the era of new three-dimensional (3D) imaging capabilities.

OBJECTIVE: The aim of the present study, in addition to a current literature review, was to examine whether the intraoperative use of 2D images leads to a quality of fracture reduction comparable to postoperative computed tomographic (CT) analysis including 3D reconstructions.

MATERIAL AND METHODS: A comparative retrospective analysis of intraoperative 2D and postoperative 3D image data was performed on 21 acetabular fractures stabilized via a pararectus approach according to an established protocol using the Matta criteria.

RESULTS: The assessment of fracture reduction in intraoperative fluoroscopy compared with postoperative CT revealed a difference only in one case with respect to the categorization of the joint step reduction in the main loading zone.

CONCLUSION: In the intraoperative use of 2D imaging for fracture treatment it is important to select the correct adjustment planes taking the anatomical conditions into account in order to achieve optimum assessability. In this way, the reduction result can be adequately displayed in fluoroscopy and is also comparable to the postoperative CT control. In addition, depending on the findings, optional intraoperative dynamic fluoroscopic assessment can have a direct influence on the further surgical procedure.

Translated title of the contribution	Possibilities and limits of intraoperative 2D imaging in trauma surgery
Original language	German
Pages (from-to)	935-941
Number of pages	7
Journal	UNFALLCHIRURGIE
Volume	126
Issue number	12
DOIs	https://doi.org/10.1007/s00113-023-01381-2
Publication status	Published - Dec 2023

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10.1007/s00113-023-01381-2

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@article{132fb304e2b64d7a97b6bbbee314e2d1,

title = "M{\"o}glichkeiten und Grenzen der intraoperativen 2D-Bildgebung in der Unfallchirurgie",

abstract = "BACKGROUND: The two-dimensional (2D) imaging represents an essential and cost-effective component of intraoperative position control in fracture stabilization, even in the era of new three-dimensional (3D) imaging capabilities.OBJECTIVE: The aim of the present study, in addition to a current literature review, was to examine whether the intraoperative use of 2D images leads to a quality of fracture reduction comparable to postoperative computed tomographic (CT) analysis including 3D reconstructions.MATERIAL AND METHODS: A comparative retrospective analysis of intraoperative 2D and postoperative 3D image data was performed on 21 acetabular fractures stabilized via a pararectus approach according to an established protocol using the Matta criteria.RESULTS: The assessment of fracture reduction in intraoperative fluoroscopy compared with postoperative CT revealed a difference only in one case with respect to the categorization of the joint step reduction in the main loading zone.CONCLUSION: In the intraoperative use of 2D imaging for fracture treatment it is important to select the correct adjustment planes taking the anatomical conditions into account in order to achieve optimum assessability. In this way, the reduction result can be adequately displayed in fluoroscopy and is also comparable to the postoperative CT control. In addition, depending on the findings, optional intraoperative dynamic fluoroscopic assessment can have a direct influence on the further surgical procedure.",

keywords = "Humans, Fracture Fixation, Internal/methods, Retrospective Studies, Fracture Fixation, Hip Fractures, Tomography, X-Ray Computed/methods",

author = "Julius Watrinet and Lisa Wenzel and Julian F{\"u}rmetz and Peter Augat and Philipp Blum and Claas Neidlein and Markus Bormann and Fabian Stuby and \{von R{\"u}den\}, Christian",

note = "Lehr-KH BGU Murnau: BG Unfallklinik Murnau, Murnau, Deutschland; Augat, von R{\"u}den: Universit{\"a}tsinstitut f{\"u}r Biomechanik, Paracelsus Medizinische Privatuniversit{\"a}t, Salzburg, {\"O}sterreich",

year = "2023",

month = dec,

doi = "10.1007/s00113-023-01381-2",

language = "Deutsch",

volume = "126",

pages = "935--941",

journal = "UNFALLCHIRURGIE",

issn = "2731-7021",

publisher = "Springer Nature",

number = "12",

}

TY - JOUR

T1 - Möglichkeiten und Grenzen der intraoperativen 2D-Bildgebung in der Unfallchirurgie

AU - Watrinet, Julius

AU - Wenzel, Lisa

AU - Fürmetz, Julian

AU - Augat, Peter

AU - Blum, Philipp

AU - Neidlein, Claas

AU - Bormann, Markus

AU - Stuby, Fabian

AU - von Rüden, Christian

N1 - Lehr-KH BGU Murnau: BG Unfallklinik Murnau, Murnau, Deutschland; Augat, von Rüden: Universitätsinstitut für Biomechanik, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich

PY - 2023/12

Y1 - 2023/12

N2 - BACKGROUND: The two-dimensional (2D) imaging represents an essential and cost-effective component of intraoperative position control in fracture stabilization, even in the era of new three-dimensional (3D) imaging capabilities.OBJECTIVE: The aim of the present study, in addition to a current literature review, was to examine whether the intraoperative use of 2D images leads to a quality of fracture reduction comparable to postoperative computed tomographic (CT) analysis including 3D reconstructions.MATERIAL AND METHODS: A comparative retrospective analysis of intraoperative 2D and postoperative 3D image data was performed on 21 acetabular fractures stabilized via a pararectus approach according to an established protocol using the Matta criteria.RESULTS: The assessment of fracture reduction in intraoperative fluoroscopy compared with postoperative CT revealed a difference only in one case with respect to the categorization of the joint step reduction in the main loading zone.CONCLUSION: In the intraoperative use of 2D imaging for fracture treatment it is important to select the correct adjustment planes taking the anatomical conditions into account in order to achieve optimum assessability. In this way, the reduction result can be adequately displayed in fluoroscopy and is also comparable to the postoperative CT control. In addition, depending on the findings, optional intraoperative dynamic fluoroscopic assessment can have a direct influence on the further surgical procedure.

AB - BACKGROUND: The two-dimensional (2D) imaging represents an essential and cost-effective component of intraoperative position control in fracture stabilization, even in the era of new three-dimensional (3D) imaging capabilities.OBJECTIVE: The aim of the present study, in addition to a current literature review, was to examine whether the intraoperative use of 2D images leads to a quality of fracture reduction comparable to postoperative computed tomographic (CT) analysis including 3D reconstructions.MATERIAL AND METHODS: A comparative retrospective analysis of intraoperative 2D and postoperative 3D image data was performed on 21 acetabular fractures stabilized via a pararectus approach according to an established protocol using the Matta criteria.RESULTS: The assessment of fracture reduction in intraoperative fluoroscopy compared with postoperative CT revealed a difference only in one case with respect to the categorization of the joint step reduction in the main loading zone.CONCLUSION: In the intraoperative use of 2D imaging for fracture treatment it is important to select the correct adjustment planes taking the anatomical conditions into account in order to achieve optimum assessability. In this way, the reduction result can be adequately displayed in fluoroscopy and is also comparable to the postoperative CT control. In addition, depending on the findings, optional intraoperative dynamic fluoroscopic assessment can have a direct influence on the further surgical procedure.

KW - Humans

KW - Fracture Fixation, Internal/methods

KW - Retrospective Studies

KW - Fracture Fixation

KW - Hip Fractures

KW - Tomography, X-Ray Computed/methods

U2 - 10.1007/s00113-023-01381-2

DO - 10.1007/s00113-023-01381-2

M3 - Originalarbeit

C2 - 37870559

SN - 2731-7021

VL - 126

SP - 935

EP - 941

JO - UNFALLCHIRURGIE

JF - UNFALLCHIRURGIE

IS - 12

ER -

Möglichkeiten und Grenzen der intraoperativen 2D-Bildgebung in der Unfallchirurgie

Abstract

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