How 3D CT Scans Are Revolutionizing Orthopaedic Trauma Implantology

Abstract

The idea of using implants in orthopaedic traumatology is to fix the reduced fracture fragments in the optimum position dictated by the specific condition so that the bone and other tissues can heal properly without compromising the function of the limb. The surgeon must know all that can be known about the fracture personality: the number and size, including thickness, of the fragments and their disposition in spatial relationship. This is vital to plan reduction strategy, choose implants and their sizes and placement. Conventional radiology has served the basic purpose for more than a century. CT scans enabled to assess the fracture in sections of different planes that was not offered by X-ray images. Development of computer ecosystem brought into realm the reconstruction of the CT data into 3D images that can be viewed from any necessary angles. This is especially helpful, and even necessary, in complex and complicated cases, for example in peri-and intra-articular fractures and in complex bones like the innominate, vertebrae and calcaneum to name a few. The present chapter aims to elaborate on how this unique tool has contributed in providing the knowledge base so that the implant surgery can be planned and executed to perfection in complex conditions, for optimum benefit of the patients.