RESUMO
Objective To use 3D fluoro-images for reduction and fixation of articular and juxta-articular fractures. Methods Presurgical analysis was carried out based on standard plan X-rays and 3D fluoro-images. Stryker 3D Fluoro-navigation system was used for reduction and fixation of articular and juxta-articular fractures at the tibial plateau and distal tibia. Results A total of 11 tibial plateau fractures, 5 Pilon fractures and 1 femoral condyle fracture were treated. All the main fracture frangments were fixed via a small incision with canulated screws. Conclusion Navigation surgery based on the combined use of 3D fluoro-and CT-images is helpful in reducing the X-ray exposure in a minimally invasive surgery for articular fractures with acceptable accuracy.