ArticleScientific reports2020
Diagnostic accuracy of intraoperative CT-imaging in complex articular fractures - a cadaveric study.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- A Comprehensive Review of 3D Imaging and Printing in Proximal Humerus Fractures and Sequelae.Journal of clinical medicine · 2025Review
- Intraoperative-CT-navigated percutaneous posterior positioning of pedicle screws in the cervical spine.Brain & spine · 2025Article
- The role of anatomical context in soft-tissue multi-organ segmentation of cadaveric non-contrast-enhanced whole body CT.Medical physics · 2023Article
- Effect Evaluation of Perioperative Fast-Track Surgery Nursing for Tibial Fracture Patients with Computerized Tomography Images under Intelligent Algorithm.Contrast media & molecular imaging · 2022Article
- A review of the surgical management of distal humerus fractures and nonunions: From fixation to arthroplasty.Journal of clinical orthopaedics and trauma · 2021Article
- The use of ionising radiation in orthopaedic surgery: principles, regulations and managing risk to surgeons and patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Review
- Does the use of intraoperative CT scan improve outcomes in Orthopaedic surgery? A systematic review and meta-analysis of 871 cases.Journal of clinical orthopaedics and trauma · 2021Article
- [Digital OR].Der Unfallchirurg · 2020Review
- Automatic Registration and Error Color Maps to Improve Accuracy for Navigated Bone Tumor Surgery Using Intraoperative Cone-Beam CT.JB & JS open accessArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anatomic reconstruction of articular fractures is one of the critical factors in later achieving good functional outcome. Intraoperative 3D imaging has been shown to offer better evaluation and therefore can significantly improve the results. The purpose of this study was to assess the difference between intraoperative three-dimensional fluoroscopy (3D) and intraoperative computed tomography (iCT) imaging regarding fracture reduction, implant placement and articular impressions in a distal humeral fracture model. AO type 13-B2 fracture pattern were created in upper extremity cadaver specimens. Articular step-offs, intra-articular screw placement and intraarticular impressions of different degrees of severity were created. All specimens had imaging performed. For each articular pattern 3D fluoroscopy in standard (3Ds) and high quality (3Dh) were performed (Arcadis Orbic, Siemens, Germany) as well as an intraoperative CT scan (iCT, Airo, Brainlab, Germany). Three observers evaluated all imaging studies regarding subjective and objective parameters. iCT is more precise than 3D fluoroscopic imaging for detection of articular impressions. Articular step-offs and intraarticular screw placement are similar for iCT and 3D. Subjective imaging quality is the highest for iCT and lowest for 3Ds. Intraoperative CT may be particularly useful in assessing articular impressions and providing a good subjective image quality for the surgeon.
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