Usefulness of intraoperative three-dimensional imaging in fracture surgery: a prospective study

Cases comprised intra-articular fractures (55 %), disruptions of the posterior pelvic ring (33 %), and syndesmotic injury (12 %). The intraoperative revision rate was 9.2 % (10/109). When considered by fracture site, the revision rate was highest for syndesmotic injury (23.1 %), followed by iliosacral fixation (8.3 %) and intra-articular fractures (6.6 %). We changed the implant position in six cases, corrected the articular reduction in one case, and revised the malreduction of syndesmosis in three cases. No postoperative infection occurred in any of these cases. ConclusionsIntraoperative 3D imaging is useful for correcting errors and may prevent a second operation. Three-dimensional imaging may be especially helpful in intra-articular fractures, iliosacral screw fixation, and syndesmotic injury.