Dubois-Ferrière V, Assal M
Rev Med Suisse. 2014 Mar 5;10(420):562-4.
In foot and ankle surgery accurate fracture reduction and implant placement may be challenging. Fracture malreduction or implant malposition may remain undetected with use of conventional fluoroscopy and are often only recognized on postoperative computed tomography (CT) scans. The development of a three-dimensional (3D) mobile imaging system has provided intraoperative control of fracture reduction and implant position. Three-dimensional computer assisted surgery (3D-CAS) has demonstrated improved accuracy in spine and pelvic surgery. Recently, the application of 3D-CAS in the field of foot and ankle surgery has shown very promising preliminary results. It appears that the intraoperative use of 3D imaging will become a standard of care.
在足踝外科手术中，精确的骨折复位和植入物放置可能具有挑战性。使用传统的荧光透视法可能无法检测到骨折复位不良或植入物位置不当，而且通常只有在术后计算机断层扫描（CT）时才会被发现。三维（3D）移动成像系统的发展为术中控制骨折复位和植入物位置提供了帮助。三维计算机辅助手术（3D-CAS）已在脊柱和骨盆手术中显示出更高的准确性。最近，3D-CAS在足踝外科领域的应用已显示出非常有前景的初步结果。术中使用3D成像似乎将成为一种标准的治疗方法。
