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Innovative image-based planning in musculoskeletal surgery

For the preparation of surgical procedures in orthopedics and trauma surgery, precise knowledge of imaging and the three-dimensional imagination of the surgeon are of outstanding importance. Image-based, preoperative two-dimensional planning is the gold standard in arthroplasty today. In complex cas...

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Bibliographic Details
Published in:Orthopädie (Heidelberg, Germany) Germany), 2023-07, Vol.52 (7), p.532-538
Main Authors: Winter, Philipp, Rother, Stephan, Orth, Patrick, Fritsch, Ekkehard
Format: Article
Language:ger
Online Access:Get full text
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Summary:For the preparation of surgical procedures in orthopedics and trauma surgery, precise knowledge of imaging and the three-dimensional imagination of the surgeon are of outstanding importance. Image-based, preoperative two-dimensional planning is the gold standard in arthroplasty today. In complex cases, further imaging such as computed tomography (CT) or magnetic resonance imaging is also performed, generating a three-dimensional model of the body region and helping the surgeon in the planning of the surgical treatment. Four-dimensional, dynamic CT studies have also been reported and are available as a complementary tool. Furthermore, digital aids should generate an improved representation of the pathology to be treated and optimize the surgeon's imagination. The finite element method allows patient-specific and implant-specific parameters to be taken into account in preoperative surgical planning. Intraoperatively, relevant information can be provided by augmented reality without significantly influencing the surgical workflow.
ISSN:2731-7153
DOI:10.1007/s00132-023-04393-3