Work

Comparison of software-assisted and freehand methods of rotational assessment for diaphyseal femur fractures

Year: 2024

Type: article

Abstract: OBJECTIVE: Accurate rotational reduction following femoral shaft fracture fixation is absent in up to 28% of cases yet is critical for lower extremity biomechanics. The objective of this cadaveric study was to compare the results of freehand methods of rotational reduction with software-assisted rotational reduction. METHODS: Four fellowship-trained orthopedic trauma surgeons attempted rotational correction in a cadaveric model with fluoroscopic assistance using (1) their method of choice (MoC) and (2) software assistance (SA). After correction, deviation from baseline rotation was calculated. RESULTS: The mean difference between the two methods (MoC-SA) was 1.1 which was not significant when comparing all raters and between raters individually. SA had significantly less variability compared to MoC. The rate of clinically relevant rotational deformity (> 15°) was 28% using MoC and 11% using SA. CONCLUSION: Rotational assessment of diaphyseal femur fractures in this cadaveric model was not significantly different when compared between method of choice and software augmentation.

Source: European Journal of Orthopaedic Surgery & Traumatology

DOI: 10.1007/s00590-024-04121-3

Authors: Christian Blough, Kevin Huang, John Garlich, Milton Little, Charles Moon, Geoffrey Marecek

Institution: Cedars-Sinai Medical Center

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790