Trauma Department, Hannover Medical School, Carl Neuberg-Str. 1, 30625, Hannover, Germany.
Curr Rev Musculoskelet Med. 2012 Sep;5(3):184-91. doi: 10.1007/s12178-012-9133-z.
Computer assisted surgery (CAS) was first used in neurosurgery. Currently, CAS has gained popularity in several surgical disciplines including urology and abdominal surgery. In trauma and orthopaedic surgery, computer assisted systems are used for fracture reduction, planning and positioning of implants as well as the accurate implantation of hip and knee prostheses. The patient's anatomy is virtualized and the surgical instruments integrated into the digitized image background, thus allowing the surgeon to navigate the surgical instruments and the bone in an improved, virtual visual environment. CAS improves overall accuracy, reducing intraoperative radiation exposure and minimizing unnecessary surgical dissection combined with increased patient and surgeon safety. However, limitations include prolonged surgical time, technical errors and cost implications. This article will outline the current state of computer assisted trauma surgery including its implications and specific challenges in orthopaedic trauma surgery.
计算机辅助手术（CAS）最初应用于神经外科。目前，CAS 在包括泌尿外科和腹部外科在内的多个外科领域得到了广泛应用。在创伤和矫形外科中，计算机辅助系统用于骨折复位、植入物的规划和定位以及髋关节和膝关节假体的精确植入。患者的解剖结构被虚拟化，手术器械被整合到数字化图像背景中，从而使外科医生能够在改进的虚拟视觉环境中导航手术器械和骨骼。CAS 提高了整体准确性，减少了术中辐射暴露，最大限度地减少了不必要的手术解剖，同时提高了患者和外科医生的安全性。然而，其局限性包括手术时间延长、技术错误和成本影响。本文将概述计算机辅助创伤外科的现状，包括其在矫形创伤外科中的意义和具体挑战。
