Evidence map›Paper›PMID 31694677›Full record

Trial reportJournal of orthopaedic surgery and research2019

Utility of an image fusion system for 3D preoperative planning and fluoroscopy in the osteosynthesis of distal radius fractures.

Yuichi Yoshii, Yasukazu Totoki, Satoshi Sashida, Shinsuke Sakai, Tomoo Ishii

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03764501 (Image Fusion System for 3D Preoperative Planning in the Osteosynthesis and Osteotomy), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03764501 naunknown statusnot on this map

Image Fusion System for 3D Preoperative Planning in the Osteosynthesis and Osteotomy

TypeinterventionalSponsorTokyo Medical UniversityRan2018 to 2024Enrolled100ConditionsFractures, Bone, Fracture Malunion, BoneArmsImage fusion system
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yuichi YoshiiDepartment of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Inashiki, Ibaraki, 300-0395, Japan. yyoshii@tokyo-med.ac.jp.ORCID http://orcid.org/0000-0003-1447-4664
Yasukazu TotokiDepartment of Orthopaedic Surgery, University of Tsukuba Hospital, Tsukuba, Ibaraki, 305-8576, Japan.
Satoshi SashidaLEXI Co. Ltd., Sugamo, Tokyo, 170-0002, Japan.
Shinsuke SakaiDepartment of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Inashiki, Ibaraki, 300-0395, Japan.
Tomoo IshiiDepartment of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Inashiki, Ibaraki, 300-0395, Japan.
Tokyo Medical University Ibaraki Medical Center · JPUniversity of Tsukuba Hospital · JP

Funding

Japanese Society for Surgery of the Hand NANational Mutual Insurance Federation of Agricultural Cooperatives NA
6 · The paper itself

Abstract

backgroundRecently, computerized virtual surgery planning has been increasingly applied in various orthopedic procedures. In this study, we developed an image fusion system for 3D preoperative planning and fluoroscopy for the osteosynthesis. To assess the utility of image fusion system, we evaluated the reproducibility of preoperative planning in the osteosynthesis of distal radius fractures with using the image fusion system, and compared with the reproducibility of the patients without using the image fusion system.

methodsForty-two wrists of 42 distal radius fracture patients who underwent osteosynthesis using volar locking plates were evaluated. The patients were divided into two groups. Image fusion group utilized three-dimensional (3D) preoperative planning and image fusion system. Control group utilized only 3D preoperative planning. In both groups, 3D preoperative planning was performed in order to determine reduction, placement, and choice of implants. In the image fusion group, the outline of planned image was displayed on a monitor overlapping with fluoroscopy images during surgery. Reductions were evaluated by volar tilt and radial inclination of 3D images. Plate positions were evaluated with distance to joint surface, plate center axis position, and inclination relative to the radius axis. Screw choices were recorded for the plan and actual choices for each screw hole. Differences in the parameters between pre- and postoperative images were evaluated. Differences in reduction shape, plate positions, and screw choices were compared between groups.

resultsThe differences in the distance from plate to joint surface were significantly smaller in the image fusion group compared to the control group (P < 0.01). The differences in the distal screw choices were significantly smaller in the image fusion group compared to the control group (P < 0.01).

conclusionsThe image fusion system was useful to reproduce the planned plate position and distal screw choices in the osteosynthesis of distal radius fractures.

trial registrationClinicalTrials.gov, NCT03764501.

Indexed as

AdultAgedAged, 80 and overBone PlatesFemaleFluoroscopyFracture Fixation, InternalHumansImaging, Three-DimensionalMaleMiddle AgedPreoperative CareRadius FracturesYoung AdultComputed tomographyDistal radius fractureFluoroscopyImage fusionOsteosynthesisPreoperative plan

Identifiers

PMID31694677
PMCPMC6836429
OpenAlexW2983754088

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.