Computer assisted surgery in preoperative planning of acetabular fracture surgery: state of the art

Expert Rev Med Devices. 2018 Jan;15(1):81-89. doi: 10.1080/17434440.2017.1413347. Epub 2017 Dec 10.

Abstract

Introduction: The development of imaging modalities and computer technology provides a new approach in acetabular surgery.

Areas covered: This review describes the role of computer-assisted surgery (CAS) in understanding of the fracture patterns, in the virtual preoperative planning of the surgery and in the use of custom-made plates in acetabular fractures with or without 3D printing technologies. A Pubmed internet research of the English literature of the last 20 years was carried out about studies concerning computer-assisted surgery in acetabular fractures. The several steps for CAS in acetabular fracture surgery are presented and commented by the main author regarding to his personal experience.

Expert commentary: Computer-assisted surgery in acetabular fractures is still initial experiences with promising results. Patient-specific biomechanical models considering soft tissues should be developed to allow a more realistic planning.

Keywords: 3D printing; Acetabular surgery; biomechanical model; computer-assisted surgery; custom-made plate; virtual preoperative planning.

Publication types

  • Review

MeSH terms

  • Acetabulum / injuries
  • Acetabulum / surgery*
  • Bone Plates
  • Fractures, Bone / classification
  • Fractures, Bone / surgery*
  • Humans
  • Imaging, Three-Dimensional
  • Preoperative Care
  • Printing, Three-Dimensional
  • Surgery, Computer-Assisted*
  • Tomography, X-Ray Computed