Y Haas1, H Stimmer2, P Biberthaler3. 1. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, München, Deutschland. yannick.haas@mri.tum.de. 2. Institut für Radiologische und interventionelle Diagnostik, Klinikum rechts der Isar, München, Deutschland. 3. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, München, Deutschland.
Abstract
BACKGROUND: Postoperative imaging in trauma surgery is an essential part of documenting optimal osteosynthetic care. A precise and goal-oriented analysis with a justifiable indication is essential. The clinical information has a great impact on the quality of imaging. An objective evaluation and structured reporting complete the postoperative imaging procedure. MATERIALS AND METHODS: Conventional x‑rays in two planes is the standard of postoperative imaging in musculoskeletal surgery. In specific anatomic structures, additional images may be necessary. The postoperative x‑ray is the simplest way to visualize a successful osteosynthesis and combines the most important points of postoperative management. Computed tomography (CT) is mostly used in emergencies, but also in the postoperative management of some elective procedures, including patients with surgery of the spine, hip or to the proximal long bones of the extremities. Furthermore, CT is useful in postoperative imaging of complicated ankle fractures. Magnetic resonance imaging (MRI) plays a modest role in postoperative imaging and is mostly used in musculoskeletal cancer surgery. Ultrasound rather plays a subordinated role in postoperative management, but it is increasingly becoming established as a tool for postoperative quality control. The great advantage is dynamic visualization in real time. CONCLUSION: Postoperative imaging remains challenging, but can detect most issues regarding osteosynthesis, which can be then be treated or monitored. Various imaging modalities are available to make reliable statements on osteosynthetic material, bone and soft tissue.
BACKGROUND: Postoperative imaging in trauma surgery is an essential part of documenting optimal osteosynthetic care. A precise and goal-oriented analysis with a justifiable indication is essential. The clinical information has a great impact on the quality of imaging. An objective evaluation and structured reporting complete the postoperative imaging procedure. MATERIALS AND METHODS: Conventional x‑rays in two planes is the standard of postoperative imaging in musculoskeletal surgery. In specific anatomic structures, additional images may be necessary. The postoperative x‑ray is the simplest way to visualize a successful osteosynthesis and combines the most important points of postoperative management. Computed tomography (CT) is mostly used in emergencies, but also in the postoperative management of some elective procedures, including patients with surgery of the spine, hip or to the proximal long bones of the extremities. Furthermore, CT is useful in postoperative imaging of complicated ankle fractures. Magnetic resonance imaging (MRI) plays a modest role in postoperative imaging and is mostly used in musculoskeletal cancer surgery. Ultrasound rather plays a subordinated role in postoperative management, but it is increasingly becoming established as a tool for postoperative quality control. The great advantage is dynamic visualization in real time. CONCLUSION: Postoperative imaging remains challenging, but can detect most issues regarding osteosynthesis, which can be then be treated or monitored. Various imaging modalities are available to make reliable statements on osteosynthetic material, bone and soft tissue.
Authors: Surena Namdari; Jason E Hsu; Matthew Baron; Matthew Barron; G Russell Huffman; David Glaser Journal: Clin Orthop Relat Res Date: 2012-08-29 Impact factor: 4.176
Authors: Klaus Dresing; Francisco Fernández; Peter Strohm; Peter Schmittenbecher; Ralf Kraus Journal: Unfallchirurg Date: 2021-03-22 Impact factor: 1.000