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肌肉骨骼手术后术后成像方式的更新。

Updates in postoperative imaging modalities following musculoskeletal surgery.

作者信息

Thippeswamy Pushpa Bhari, Nedunchelian Meena, Rajasekaran Raja Bhaskara, Riley Dylan, Khatkar Harman, Rajasekaran Shanmuganathan

机构信息

Department of Radiology, Ganga Medical Centre & Hospitals Pvt. Ltd, 313, Mettupalayam Road, Coimbatore, India.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science (NDORMS), Nuffield Orthopaedic Centre, Windmill Road, Oxford, OX3 7LD, UK.

出版信息

J Clin Orthop Trauma. 2021 Sep 30;22:101616. doi: 10.1016/j.jcot.2021.101616. eCollection 2021 Nov.

Abstract

Postoperative imaging following orthopaedic surgeries is essential in assessing complications post-surgery and also helps plan further treatment. Combining a high degree of clinical insight with appropriate imaging can guide the treating clinician to the correct diagnosis. Imaging is quite challenging because of surgery-related soft tissue changes, especially in the early postoperative period and the presence of metal implants resulting in image scatter and metal artifacts. Newer modalities and advances in imaging have helped overcome shortcomings and assess better, especially in procedures that involve implants. Collaborative decision-making involving radiologists and clinicians has shown to be beneficial and is the way forward. This narrative review discusses the utility of imaging in evaluating postoperative complications following musculoskeletal surgeries with specific relation to trauma, arthroplasty, and tumour by discussing commonly encountered clinical scenarios.

摘要

骨科手术后的影像学检查对于评估术后并发症至关重要,也有助于规划进一步的治疗。将高度的临床洞察力与适当的影像学检查相结合,可以指导治疗医生做出正确的诊断。由于手术相关的软组织变化,尤其是在术后早期,以及金属植入物的存在导致图像散射和金属伪影,影像学检查颇具挑战性。更新的检查方式和影像学进展有助于克服这些缺点并进行更好的评估,尤其是在涉及植入物的手术中。放射科医生和临床医生之间的协作决策已证明是有益的,也是未来的发展方向。这篇叙述性综述通过讨论常见的临床情况,探讨了影像学在评估肌肉骨骼手术后的术后并发症方面的作用,特别是与创伤、关节置换和肿瘤的关系。

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