The introduction of the three-dimensional (3D) fluoroscopy brought new intra-operative imaging possibilities for the orthopedic surgeons, aiming at the improvement of the conventional fluoroscopy. Different authors demonstrated a high reliability of this technique for the evaluation of articular fracture reduction, for the presence of articular gaps and for implant positioning. The performances of 3D-fluoroscopy were estimated to be comparable to CT-scan and significantly superior to 2D fluoroscopy. The most favorable indications in pelvic and hip surgery comprehend both traumatic and elective surgery. Pelvic ring and acetabular fractures along with femoro-acetabular impingement are the fields where 3D-fluoroscopy more satisfactorily operates at the moment. For best performing this procedure it’s essential a special care for patient’s positioning, as any radio-opaque disturbance unfavorably influences the result. Moreover, further developments of 3D fluoroscopy with the support of secondary modeling softwares will be introduced in the next years, expanding its utilization.
3D fluoroscopy and its applications in hip surgery
Giachino M.;Aprato A.
Co-first
;Degiorgis C.;Massazza G.;Masse A.Last
2017-01-01
Abstract
The introduction of the three-dimensional (3D) fluoroscopy brought new intra-operative imaging possibilities for the orthopedic surgeons, aiming at the improvement of the conventional fluoroscopy. Different authors demonstrated a high reliability of this technique for the evaluation of articular fracture reduction, for the presence of articular gaps and for implant positioning. The performances of 3D-fluoroscopy were estimated to be comparable to CT-scan and significantly superior to 2D fluoroscopy. The most favorable indications in pelvic and hip surgery comprehend both traumatic and elective surgery. Pelvic ring and acetabular fractures along with femoro-acetabular impingement are the fields where 3D-fluoroscopy more satisfactorily operates at the moment. For best performing this procedure it’s essential a special care for patient’s positioning, as any radio-opaque disturbance unfavorably influences the result. Moreover, further developments of 3D fluoroscopy with the support of secondary modeling softwares will be introduced in the next years, expanding its utilization.
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