New Imaging, Diagnostic, and Assessment Techniques in Orthopedic Trauma

Todd K Conlan; Michael J Beebe; John C Weinlein

doi:10.1016/j.ocl.2018.08.010

New Imaging, Diagnostic, and Assessment Techniques in Orthopedic Trauma

Orthop Clin North Am. 2019 Jan;50(1):47-56. doi: 10.1016/j.ocl.2018.08.010.

Authors

Todd K Conlan¹, Michael J Beebe¹, John C Weinlein²

Affiliations

¹ University of Tennessee-Campbell Clinic, Department of Orthopaedic Surgery and Biomedical Engineering, 1211 Union Avenue, Suite 500, Memphis, TN 38117, USA; Regional One Health, 877 Jefferson Avenue, Memphis, TN 38103, USA.
² University of Tennessee-Campbell Clinic, Department of Orthopaedic Surgery and Biomedical Engineering, 1211 Union Avenue, Suite 500, Memphis, TN 38117, USA; Regional One Health, 877 Jefferson Avenue, Memphis, TN 38103, USA. Electronic address: jweinlein@campbellclinic.com.

PMID: 30477706
DOI: 10.1016/j.ocl.2018.08.010

Abstract

This article examines new imaging, diagnostic, and assessment techniques that may affect the care of patients with orthopedic trauma and/or infection. Three-dimensional imaging has assisted in fracture assessment preoperatively, whereas improvement in C-arm technology has allowed real-time evaluation of implant placement and periarticular reduction before leaving the operating room. Advances in imaging techniques have allowed earlier and more accurate diagnosis of nonunion and infection. Innovations in bacteriologic testing have improved the sensitivity and specificity of perioperative and peri-implant infections. It is critical that surgeons remain up to date on the options available for optimal patient care.

Keywords: 3D CT; FISH; O-arm; PCR; PET; Resonant frequency analysis; Sonication; Virtual stress testing.

Publication types

Review

MeSH terms

Fluoroscopy / methods*
Fractures, Bone / diagnosis*
Fractures, Bone / surgery*
Humans
Imaging, Three-Dimensional*
Positron Emission Tomography Computed Tomography / methods*
Reproducibility of Results
Surgery, Computer-Assisted / methods*