title: One year orthopaedic trauma experience using an advanced interdisciplinary hybrid operating room.
abstract: Hybrid operating rooms have been used successfully in several surgical specialties, but no data have been published for orthopaedic trauma. We present our one-year orthopaedic trauma experience using a hybrid operating room, which incorporates 3D fluoroscopic imaging as well as navigation capabilities. Data were compiled for a series of 92 cases performed in an advanced hybrid operating room at the level one trauma center in Ulm, Germany. All patients who had surgery performed using this operating room during the first year were included. Setup time and surgical complications using hybrid operating room were recorded and analysed. The hybrid operating room resulted in no higher rate of complication than expected from the same cases in a conventional operating room. The hybrid room did however allow the surgeon to confidently place implants for orthopaedic trauma cases, and was most advantageous for spine and pelvis cases, both minimally invasive and conventional. Further, appropriate reduction and implant position was confirmed with 3D imaging prior to leaving the operating room and obviated the need for postoperative CT scan. Based on our one-year experience, the hybrid operating room is a useful and safe tool for orthopaedic trauma surgery.
authors.affiliation: Ulm University, Ulm, Germany. Electronic address: Peter.richter@uniklinik-ulm.de.
authors.forename: Peter H
authors.initials: PH
authors.lastname: Richter
authors.affiliation: University of Virginia; Charlottesville, Virginia, United States.
authors.forename: Seth
authors.initials: S
authors.lastname: Yarboro
authors.affiliation: Donau-Ries Hospital Donauwörth; Donauwoerth, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Kraus
authors.affiliation: Ulm University, Ulm, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Gebhard
mesh_terms: D005471:Fluoroscopy; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D019060:Minimally Invasive Surgical Procedures / Q000639:trends; D009873:Operating Rooms / Q000639:trends*; D019637:Orthopedic Procedures / Q000193:education* / Q000639:trends; D010348:Patient Care Team / Q000458:organization & administration; D025321:Surgery, Computer-Assisted / Q000639:trends*; D013523:Surgical Equipment / Q000639:trends; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers / Q000639:trends*
keywords: 3D imaging; computer assisted surgery; hybrid operating room; intraoperative imaging; navigation