Intraoperative 3-dimensional imaging of scaphoid fracture reduction and fixation
Abstract Introduction We examined the clinical benefit of two intraoperative three-dimensional imaging modalities for reduction and fixation of scaphoid fractures. Hypothesis Our hypothesis was that three dimensional imaging will aid in operative care in comparison with standard fluoroscopy. Methods...
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| Veröffentlicht in: | Orthopaedics & traumatology, surgery & research surgery & research, 2015-05, Vol.101 (3), p.353-357 |
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| creator | Luria, S Safran, O Zinger, G Mosheiff, R Liebergall, M |
| description | Abstract Introduction We examined the clinical benefit of two intraoperative three-dimensional imaging modalities for reduction and fixation of scaphoid fractures. Hypothesis Our hypothesis was that three dimensional imaging will aid in operative care in comparison with standard fluoroscopy. Methods In 25 consecutive patients treated for fractures, after satisfactory reduction and fixation was obtained with a single Kirschner wire using fluoroscopy, intraoperative three-dimensional visualization was performed. The quality of fracture reduction, wire position and extrusion of the wire were examined. Results In two of the 25 cases, after three-dimensional visualization, malreduction of the fracture was seen and the reduction revised. Artifact and the dependency on technologist performance, limited the use of these modalities to locate the wire accurately. Discussion Diagnosis of malreduction of a scaphoid fracture is possible with 3-dimensional modalities. Utilization of these systems is still limited by technical factors. Level of evidence Level IV. Retrospective study. |
| doi_str_mv | 10.1016/j.otsr.2014.07.038 |
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Hypothesis Our hypothesis was that three dimensional imaging will aid in operative care in comparison with standard fluoroscopy. Methods In 25 consecutive patients treated for fractures, after satisfactory reduction and fixation was obtained with a single Kirschner wire using fluoroscopy, intraoperative three-dimensional visualization was performed. The quality of fracture reduction, wire position and extrusion of the wire were examined. Results In two of the 25 cases, after three-dimensional visualization, malreduction of the fracture was seen and the reduction revised. Artifact and the dependency on technologist performance, limited the use of these modalities to locate the wire accurately. Discussion Diagnosis of malreduction of a scaphoid fracture is possible with 3-dimensional modalities. Utilization of these systems is still limited by technical factors. Level of evidence Level IV. Retrospective study.</description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2014.07.038</identifier><identifier>PMID: 25771529</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Female ; Fluoroscopy ; Fracture Fixation, Internal ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Humans ; Imaging, Three-Dimensional ; Internal fixation ; Intraoperative Care ; Intraoperative imaging ; Male ; Orthopedics ; Scaphoid Bone - diagnostic imaging ; Scaphoid Bone - injuries ; Scaphoid Bone - surgery ; Scaphoid fracture ; Surgery ; Tomography, X-Ray Computed ; Wrist</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2015-05, Vol.101 (3), p.353-357</ispartof><rights>Elsevier Masson SAS</rights><rights>2015 Elsevier Masson SAS</rights><rights>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-38d4654c973056db14ab5c818b7424931c563cf5097cfc0f43b924d06d082ac03</citedby><cites>FETCH-LOGICAL-c455t-38d4654c973056db14ab5c818b7424931c563cf5097cfc0f43b924d06d082ac03</cites><orcidid>0000-0001-8179-1673</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.otsr.2014.07.038$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25771529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luria, S</creatorcontrib><creatorcontrib>Safran, O</creatorcontrib><creatorcontrib>Zinger, G</creatorcontrib><creatorcontrib>Mosheiff, R</creatorcontrib><creatorcontrib>Liebergall, M</creatorcontrib><title>Intraoperative 3-dimensional imaging of scaphoid fracture reduction and fixation</title><title>Orthopaedics & traumatology, surgery & research</title><addtitle>Orthop Traumatol Surg Res</addtitle><description>Abstract Introduction We examined the clinical benefit of two intraoperative three-dimensional imaging modalities for reduction and fixation of scaphoid fractures. Hypothesis Our hypothesis was that three dimensional imaging will aid in operative care in comparison with standard fluoroscopy. Methods In 25 consecutive patients treated for fractures, after satisfactory reduction and fixation was obtained with a single Kirschner wire using fluoroscopy, intraoperative three-dimensional visualization was performed. The quality of fracture reduction, wire position and extrusion of the wire were examined. Results In two of the 25 cases, after three-dimensional visualization, malreduction of the fracture was seen and the reduction revised. Artifact and the dependency on technologist performance, limited the use of these modalities to locate the wire accurately. Discussion Diagnosis of malreduction of a scaphoid fracture is possible with 3-dimensional modalities. Utilization of these systems is still limited by technical factors. Level of evidence Level IV. Retrospective study.</description><subject>Adult</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Internal fixation</subject><subject>Intraoperative Care</subject><subject>Intraoperative imaging</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Scaphoid Bone - diagnostic imaging</subject><subject>Scaphoid Bone - injuries</subject><subject>Scaphoid Bone - surgery</subject><subject>Scaphoid fracture</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Wrist</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1v1TAQtBCIlsIf4IBy5JKw_ooTCSGhCmilSiABZ8tZb4ofefHDTqr23-PolQpx4LRea2a0M8PYSw4NB96-2TVxyakRwFUDpgHZPWKnvDOmBt12j_96n7BnOe8A2pZL8ZSdCG0M16I_ZV8u5yW5eKDklnBDlax92NOcQ5zdVIW9uw7zdRXHKqM7_IjBV2NyuKyJqkR-xaUAKzeX73DrtuU5ezK6KdOL-3nGvn_88O38or76_Ony_P1VjUrrpZadV61W2BtZDvQDV27Q2PFuMEqoXnLUrcRRQ29wRBiVHHqhPLQeOuEQ5Bl7fdQ9pPhrpbzYfchI0-Rmimu2vO2Ad6CFLFBxhGKKOSca7SEVZ-nOcrBbknZntyTtlqQFY0uShfTqXn8d9uQfKH-iK4C3RwAVlzeBks0YaEbyIREu1sfwf_13_9BxCnNAN_2kO8q7uKbSQPFhs7Bgv25dblVyDQBaGfkbf42ZnA</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Luria, S</creator><creator>Safran, O</creator><creator>Zinger, G</creator><creator>Mosheiff, R</creator><creator>Liebergall, M</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8179-1673</orcidid></search><sort><creationdate>20150501</creationdate><title>Intraoperative 3-dimensional imaging of scaphoid fracture reduction and fixation</title><author>Luria, S ; Safran, O ; Zinger, G ; Mosheiff, R ; Liebergall, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-38d4654c973056db14ab5c818b7424931c563cf5097cfc0f43b924d06d082ac03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Fracture Fixation, Internal</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Internal fixation</topic><topic>Intraoperative Care</topic><topic>Intraoperative imaging</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Scaphoid Bone - diagnostic imaging</topic><topic>Scaphoid Bone - injuries</topic><topic>Scaphoid Bone - surgery</topic><topic>Scaphoid fracture</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Wrist</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luria, S</creatorcontrib><creatorcontrib>Safran, O</creatorcontrib><creatorcontrib>Zinger, G</creatorcontrib><creatorcontrib>Mosheiff, R</creatorcontrib><creatorcontrib>Liebergall, M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luria, S</au><au>Safran, O</au><au>Zinger, G</au><au>Mosheiff, R</au><au>Liebergall, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative 3-dimensional imaging of scaphoid fracture reduction and fixation</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>101</volume><issue>3</issue><spage>353</spage><epage>357</epage><pages>353-357</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Abstract Introduction We examined the clinical benefit of two intraoperative three-dimensional imaging modalities for reduction and fixation of scaphoid fractures. Hypothesis Our hypothesis was that three dimensional imaging will aid in operative care in comparison with standard fluoroscopy. Methods In 25 consecutive patients treated for fractures, after satisfactory reduction and fixation was obtained with a single Kirschner wire using fluoroscopy, intraoperative three-dimensional visualization was performed. The quality of fracture reduction, wire position and extrusion of the wire were examined. Results In two of the 25 cases, after three-dimensional visualization, malreduction of the fracture was seen and the reduction revised. Artifact and the dependency on technologist performance, limited the use of these modalities to locate the wire accurately. Discussion Diagnosis of malreduction of a scaphoid fracture is possible with 3-dimensional modalities. Utilization of these systems is still limited by technical factors. Level of evidence Level IV. 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| subjects | Adult Female Fluoroscopy Fracture Fixation, Internal Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Imaging, Three-Dimensional Internal fixation Intraoperative Care Intraoperative imaging Male Orthopedics Scaphoid Bone - diagnostic imaging Scaphoid Bone - injuries Scaphoid Bone - surgery Scaphoid fracture Surgery Tomography, X-Ray Computed Wrist |
| title | Intraoperative 3-dimensional imaging of scaphoid fracture reduction and fixation |
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