ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Intraoperative revision rates due to three-dimensional imaging in orthopedic trauma surgery: results of a case series of 4721 patients.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06943079 (Effects of Hold-relax Technique With or Without Blood Flow Restriction on Pain, Range of Motion and Functional Disability in Patients With Post Operative ACL Rehabilitation.), which is not on this map. Cited by 7 papers.
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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.
Effects of Hold-relax Technique With or Without Blood Flow Restriction on Pain, Range of Motion and Functional Disability in Patients With Post Operative ACL Rehabilitation.
Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- [Possible complications following pilon fractures and their management].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Validity and prognostic value of a novel intraoperative assessment tool for reduction in trimalleolar fractures: the SGSC checklist approach.Archives of orthopaedic and trauma surgery · 2026Article
- Role of Intraoperative 2D and 3D Fluoroscopy in Identifying Malposition of Screws in Surgical Fixation of Intra-articular Distal Radius Fractures in Comparison to Post-operative Computed Tomography.Journal of orthopaedic case reports · 2026Article
- Modified 3D-Controlled Inside-Out Compression Screw Fixation Technique in Posterior Malleolar Fractures: A Narrative Review and Case Report.Journal of clinical medicine · 2025Review
- Intraoperative 3D reconstruction from sparse arbitrarily posed real X-rays.Scientific reports · 2025Article
- Automated Digital Image Optimisation in Intraoperative 2D and 3D Imaging Using a Mobile C-Arm With Flat-Panel Detector.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025Article
- Validation of a laser projection platform for the preparation of surgical patches used in paediatric cardiac surgery.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIntraoperative 3D imaging has become a valued tool in assessing the quality of reduction and implant placement in orthopedic trauma surgery. In our institution, 3D imaging is used routinely since 2001. To evaluate the intraoperative findings and consequences of this technique, intraoperative revision rates in cases with 3D imaging were analyzed.
methodsAll operative procedures carried out with intraoperative 3D imaging between August 2001 and December 2016 were included. The scans were assessed intraoperatively and documented thereafter. In case of malreduction or misplaced implants, an immediate revision was performed. The number of scans per case as well as the findings and consequences drawn regarding the anatomical region were analyzed.
results4721 cases with 7201 3D scans were included in this study. The most common anatomical regions were the ankle (22.3%), the calcaneus (14.8%) and the tibial head (9.5%). In 19.1% of all cases, an intraoperative revision was performed. The highest revision rates were found with 36.0% in calcaneal fractures, 24.8% in fractures of the tibial plateau, 22.3% in injuries of the ankle. In 52.0% of revisions, the reduction was improved regarding intra-articular steps or joint congruency. In 30.5% an implant was corrected.
conclusionIntraoperative revision due to results of 3D imaging was performed in almost one-fifth of cases. This illustrates the improved possibilities to detect malreduction and implant misplacements intraoperatively and thus the abilities to improve surgical outcome. LEVEL OF EVIDENCE: III.
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