{"title":"[Contrast-enhanced ultrasound in the diagnostics of non-unions].","authors":"Julian Doll, Christian Fischer","doi":"10.1007/s00113-021-01129-w","DOIUrl":null,"url":null,"abstract":"<p><p>Non-union represents a severe complication and a major socioeconomic challenge in orthopedics and trauma surgery. Timely and reliable diagnostics are obligatory to be able to carry out the treatment of non-unions in a patient-specific and efficient manner. Contrast-enhanced ultrasound (CEUS) is an important interface between clinical signs, imaging investigations and the results of the paraclinical diagnostics, e.g. C‑reactive protein (CRP) and leukocyte count. It can display the microperfusion inside the non-union gap in real time and provide valuable information for exclusion of an infection or on the healing progress after revision surgery. An establishment of this diagnostic modality in routine orthopedic trauma surgery contributes to optimization of the treatment of non-unions.</p>","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":"125 2","pages":"107-112"},"PeriodicalIF":0.0000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Unfallchirurg","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00113-021-01129-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/7 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Non-union represents a severe complication and a major socioeconomic challenge in orthopedics and trauma surgery. Timely and reliable diagnostics are obligatory to be able to carry out the treatment of non-unions in a patient-specific and efficient manner. Contrast-enhanced ultrasound (CEUS) is an important interface between clinical signs, imaging investigations and the results of the paraclinical diagnostics, e.g. C‑reactive protein (CRP) and leukocyte count. It can display the microperfusion inside the non-union gap in real time and provide valuable information for exclusion of an infection or on the healing progress after revision surgery. An establishment of this diagnostic modality in routine orthopedic trauma surgery contributes to optimization of the treatment of non-unions.
期刊介绍：
Der Unfallchirurg is an internationally recognised publication organ. The journal deals with all aspects of accident surgery and reconstruction surgery and serves the continuing medical education of surgeons and accident surgeons with own practices and those working in hospitals.
Practically-oriented works provide an overview on selected topics and offer the reader a summary of current findings from all fields of accident surgery. Besides the imparting of relevant background knowledge, the focus is on the assessment of scientific findings under consideration of practical experience. The reader is given concrete recommendations for his/her practical work.
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