RESUMEN
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.
Asunto(s)
Fluoroscopía/tendencias , Imagenología Tridimensional/tendencias , Complicaciones Intraoperatorias/diagnóstico por imagen , Complicaciones Intraoperatorias/cirugía , Tomografía Computarizada por Rayos X/tendencias , Heridas y Lesiones/diagnóstico por imagen , Heridas y Lesiones/cirugía , Fracturas de Tobillo/diagnóstico por imagen , Fracturas de Tobillo/cirugía , Articulación del Tobillo/diagnóstico por imagen , Articulación del Tobillo/cirugía , Tomografía Computarizada de Haz Cónico/instrumentación , Tomografía Computarizada de Haz Cónico/tendencias , Diseño de Equipo , Fluoroscopía/instrumentación , Humanos , Imagenología Tridimensional/instrumentación , Luxaciones Articulares/diagnóstico por imagen , Luxaciones Articulares/cirugía , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/cirugía , Reoperación , Sensibilidad y Especificidad , Huesos Tarsianos/diagnóstico por imagen , Huesos Tarsianos/lesiones , Huesos Tarsianos/cirugía , Tomografía Computarizada por Rayos X/instrumentaciónRESUMEN
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.
