title: [Intraoperative 3D imaging : Diagnostic accuracy and therapeutic benefits].
abstract: Intraoperative 3D imaging has a marked impact on the surgical treatment of articular fractures. In theory, insufficient reduction of fracture fragments and malpositioning of implants can be corrected in the same session so that unnecessary secondary imaging and revision surgery can be avoided. Current evidence on the accuracy of 3D scans, however, relies on heterogeneous preclinical data and must be interpreted with caution. Every fourth 3D scan seems to lead to a repositioning of fracture fragments or implants, despite unproven sensitivity and specificity. The interaction between diagnostic accuracy and therapeutic consequences needs exploration before any conclusions on the (additional) benefits of intraoperative 3D imaging can be drawn.
authors.affiliation: Zentrum für Klinische Forschung, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Berlin, Deutschland. dirk.stengel@berlin.de.|Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland. dirk.stengel@berlin.de.
authors.forename: D
authors.initials: D
authors.lastname: Stengel
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Wich
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Ekkernkamp
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Spranger
mesh_terms: D019317:Evidence-Based Medicine; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D016343:Monitoring, Intraoperative / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome
keywords: Benefits; Best evidence; Intraoperative imaging; Surgical fracture treatment; Therapeutic consequences