Computer-assisted trauma surgery.

Computer-assisted orthopaedic surgery (CAOS) is performed by digitizing the patient's anatomy, combining the images in a computerized system, and integrating the surgical instruments into the digitized image background. This allows the surgeon to navigate the surgical instruments and the bone in an...

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Publicado en:Journal of the American Academy of Orthopaedic Surgeons Vol. 18; no. 5; pp. 247 - 259
Autores principales: Atesok K, Schemitsch EH, Atesok, Kivanc, Schemitsch, Emil H
Formato: review Journal Article
Publicado: Lippincott Williams & Wilkins May2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Computer-assisted trauma surgery.
      aug:
        au:
          Atesok K
          Schemitsch EH
          Atesok, Kivanc
          Schemitsch, Emil H
        affil: Division of Orthopaedics, Department of Surgery, St. Michael's Hospital, University of Toronto, ON, Canada
      sug:
        subj:
          Orthopedic Surgery
          Therapy, Computer Assisted
          Fluoroscopy
          Fracture Fixation
          Fractures Surgery
          Radiography, Interventional
          Minimally Invasive Procedures
      ab: Computer-assisted orthopaedic surgery (CAOS) is performed by digitizing the patient's anatomy, combining the images in a computerized system, and integrating the surgical instruments into the digitized image background. This allows the surgeon to navigate the surgical instruments and the bone in an improved, virtual visual environment. CAOS in traumatology is performed with images obtained by fluoroscopy, CT, or three-dimensional fluoroscopy. CAOS is used in basic trauma procedures for preoperative planning, fracture reduction, intramedullary nailing, percutaneous screw or plate fixation, and hardware or shrapnel removal. Potential benefits of CAOS include minimal invasiveness, increased accuracy, and decreased radiation exposure. Limitations include a significant learning curve, increased surgical time, requirements for special setup and equipment handling in the operating room, specialized technical support, and cost. Current evidence shows no advantage with CAOS in trauma cases compared with conventional methods. Prospective randomized trials and clinical outcomes are lacking.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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