Department of Radiology, University of Miami, Miami, FL, 33136, USA.
University of Miami Miller School of Medicine, Miami, FL, 33136, USA.
Emerg Radiol. 2024 Jun;31(3):381-390. doi: 10.1007/s10140-024-02215-3. Epub 2024 Mar 23.
The mainstay orthopedic surgical technique for fracture fixation involves metal plates, screws, and rods. While these methods are effective, they exhibit high rates of complications within specific populations, particularly among patients with pathologic and insufficiency fractures. IlluminOss represents a novel photodynamic bone stabilization system, approved for use in multiple countries, that serves as an alternative to traditional fracture fixation approaches for patients experiencing pathologic, traumatic, and fragility fractures. Despite the initial success of the system in fostering fracture healing, no study has comprehensively examined the radiological attributes of the IlluminOss Stabilization system thus far. The emergency radiologist is often the first point of imaging identification and interpretation for patients presenting with suspected postoperative complications, requiring evolving knowledge of both expected and atypical appearances for novel surgical implants. This manuscript's objective is to delve into the design and clinical application of IlluminOss, scrutinize relevant normal imaging findings across various modalities, and delineate potential complications associated with the IlluminOss Stabilization system for traumatic, pathologic, and fragility fractures that are increasingly encountered in the emergency department setting.
骨科手术中骨折固定的主要方法包括金属板、螺钉和棒。虽然这些方法有效,但在特定人群中,尤其是在患有病理性和不稳定性骨折的患者中,它们的并发症发生率很高。IlluminOss 是一种新型的光动力骨稳定系统,已在多个国家获得批准使用,可作为病理性、创伤性和脆性骨折患者传统骨折固定方法的替代方法。尽管该系统在促进骨折愈合方面取得了初步成功,但迄今为止,尚无研究全面检查 IlluminOss 稳定系统的放射影像学特征。对于出现疑似术后并发症的患者,急诊放射科医生通常是进行影像学识别和解释的第一站,这需要不断了解新型手术植入物的预期和非典型表现。本文的目的是深入研究 IlluminOss 的设计和临床应用,仔细检查各种方式的相关正常影像学发现,并描述在急诊科越来越常见的创伤性、病理性和脆性骨折中与 IlluminOss 稳定系统相关的潜在并发症。