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CT-guided interventions in orthopedics

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

In this study we present our experience with CT-guided interventions for musculoskeletal diseases. Technical details, advantages and disadvantages and the accuracy of the method are described.

Materials and methods

Between 2002 and 2005 we performed 77 CT-guided interventions on 72 patients (42 men, mean age 43.9 ± 24.4 years, and 30 women, mean age 54.2 ± 20.3) with (suspected) fracture, tumor or infection.

Results

Forty-one tumors, metastases or bone cysts, 17 infections, 12 bone alterations (e.g. osteoporosis, fracture) and 4 joints were diagnosed or treated. In three patients a tumor or an infection could be excluded. The duration of the procedure was 29.1 ± 16.8 min. We did not see any intraoperative complication. However, the intervention had to be repeated in two patients, as the collected specimen was insufficient for histopathological evaluation in one patient, and in the other the nidus of osteoid osteoma persisted. The effective accuracy was 90.5%. Two patients were diagnosed first and then treated by screw osteosynthesis or corticoid steroid infiltration. One patient with an osteoid osteoma of the tibia fell and sustained a fracture of the tibial shaft.

Conclusion

CT-guidance can substantially support diagnostic and therapeutic procedures in bone and soft tissues, especially if located in deep areas of the body, which are difficult to reach using open approaches.

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Acknowledgments

Histopathological evaluation was performed by the Institute of Osteopathology, University of Hamburg (former Director: Prof. Dr. G. Delling) or the Institute of Pathology, University of Ulm (Director: Prof. Dr. P. Möller).

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany

    Klaus Huch, Benno Ulmar & Heiko Reichel

  2. Department of Traumatology, University of Ulm, Steinhövelstraße 9, 89075, Ulm, Germany

    Götz Röderer

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  1. Klaus Huch
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Correspondence to Klaus Huch.

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Huch, K., Röderer, G., Ulmar, B. et al. CT-guided interventions in orthopedics. Arch Orthop Trauma Surg 127, 677–683 (2007). https://doi.org/10.1007/s00402-007-0410-z

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  • DOI: https://doi.org/10.1007/s00402-007-0410-z

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