ABSTRACT
Three-dimensional (3D) imaging can enhance trauma care by allowing better evaluation of bony detail and implant position compared to conventional fluoroscopy or xray. Intraoperative 3D imaging further improves this evaluation by allowing any necessary revisions to be made in the operating room prior to the patient emerging from anesthesia. This revision, if necessary, better achieves the surgical goals and alleviates the stressful situation of obtaining postoperative 3D imaging, where the benefit of revision must be balanced against the cost and risk of returning to the operating room. Improved image volume, resolution, and software capability have allowed surgeons to obtain high-quality, wide field views of bony anatomy that can include the uninjured side as a comparison. In this paper, the evolution of intraoperative 3D imaging over the past 25 years is discussed.
Subject(s)
Fluoroscopy/trends , Imaging, Three-Dimensional/trends , Intraoperative Complications/diagnostic imaging , Intraoperative Complications/surgery , Tomography, X-Ray Computed/trends , Wounds and Injuries/diagnostic imaging , Wounds and Injuries/surgery , Ankle Fractures/diagnostic imaging , Ankle Fractures/surgery , Ankle Joint/diagnostic imaging , Ankle Joint/surgery , Cone-Beam Computed Tomography/instrumentation , Cone-Beam Computed Tomography/trends , Equipment Design , Fluoroscopy/instrumentation , Humans , Imaging, Three-Dimensional/instrumentation , Joint Dislocations/diagnostic imaging , Joint Dislocations/surgery , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , Reoperation , Sensitivity and Specificity , Tarsal Bones/diagnostic imaging , Tarsal Bones/injuries , Tarsal Bones/surgery , Tomography, X-Ray Computed/instrumentationABSTRACT
Three-dimensional (3D) imaging can enhance trauma care by allowing better evaluation of bony detail and implant position compared to conventional fluoroscopy or xray. Intraoperative 3D imaging further improves this evaluation by allowing any necessary revisions to be made in the operating room prior to the patient emerging from anesthesia. This revision, if necessary, better achieves the surgical goals and alleviates the stressful situation of obtaining postoperative 3D imaging, where the benefit of revision must be balanced against the cost and risk of returning to the operating room. Improved image volume, resolution, and software capability have allowed surgeons to obtain high quality, wide field views of bony anatomy that can include the uninjured side as a comparison. In this paper, the evolution of intraoperative 3D imaging over the past 25 years is discussed.
