INTRAOPERATIVE COMPUTED TOMOGRAPHY: AN ADVANCED APPROACH FOR VISUALIZATION OF FIXATION MATERIAL IN DISTAL RADIUS FRACTURES.

IF 0.6 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e287214
Pedro Henrique Pires, Marcela de Melo Gajo, Matheus Kuffner, Gabriel França Calumby, Caio Caldas Couto
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引用次数: 0

Abstract

Objective: To compare the efficacy of 2D fluoroscopy with intraoperative computed tomography (CT) in detecting intra-articular screws that extend beyond the dorsal cortex in distal radius fractures.

Methods: Prospective study of 10 patients undergoing osteosynthesis of distal radius fractures, evaluating the accuracy of 2D fluoroscopy and intraoperative CT.

Results: 2D fluoroscopy did not identify inadequate positioning, while intraoperative CT detected 20% of intra-articular screws and 60% of screws going beyond the dorsal cortex.

Conclusion: Intraoperative CT is more effective in detecting inadequate positioning of the synthesis material and may prevent future complications. Level of Evidence III; Prospective d comparative study e.

Abstract Image

Abstract Image

术中计算机断层扫描:桡骨远端骨折固定材料可视化的先进方法。
目的:比较二维x线透视与术中计算机断层扫描(CT)在桡骨远端骨折中检测超出背皮质的关节内螺钉的效果。方法:对10例桡骨远端骨折行植骨术的患者进行前瞻性研究,评价二维透视和术中CT的准确性。结果:二维透视未发现定位不到位,术中CT发现20%的关节内螺钉和60%的螺钉超出背皮质。结论:术中CT对发现合成材料定位不当更有效,可预防并发症的发生。证据等级III;前瞻性比较研究;
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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