Impact of innovations in surgical techniques and advanced imaging on postoperative recovery and reduction of complications in patients with long bone fractures: a systematic review
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242654Keywords:
Long bone fractures, Surgical techniques, Advanced imaging, Postoperative recovery, Minimally invasive surgeryAbstract
Long bones fracture is one of the most complicated surgeries in orthopedics and the progress in the techniques as well as technologies used has recorded a steady progression in the last few years. Minimally invasive surgery (MIS), computer-assisted surgery and improved imaging techniques can all be cited as impacting on emerging practices. Conversely, the success of such techniques and their influences on the performance results should continue to be assessed in order to adjust the treatment approaches and patients’ conditions. This paper aimed at reviewing and researching current journals and literature on the topic of managing long bone fractures with specific emphasis on the new developments in surgery, imaging, and after care. Included articles were randomized control trials, cohort studies, meta-analysis, from reputable orthopedic journals and evaluated both effectiveness, and adverse outcomes of these advancements. In light of the study, it emerges that less invasive procedures in thoracic surgery lead to fewer postoperative complications and quicker convalescence time among the patients; and magnetic resonance imaging (MRI) and intraoperative fluoroscopy improves diagnostic accuracy and also surgical localization. Computer assisted surgery and augmented reality have been recognized as useful adjuncts in both the preoperative planning and intra operative navigation through the surgical field but they are still not widely used due to the costs associated with the purchase of equipment and initial technical difficulties. In particular, the use of these technologies successfully advanced the clinical efficiency in the treatment of long bone fractures.
References
Bhandari M, Guyatt GH, Swiontkowski MF, Tornetta P. Current practice in the management of fractures in long bones: Results of an international survey. J Orthop Trauma. 2012;26(11):648-53.
Nauth A, Creek AT, Zellar A, Haller JM, Madey SM, Teague DC, et al. Evidence-Based Recommendations for Antibiotic Prophylaxis in Orthopaedic Trauma: What Does the Evidence Say? J Orthop Trauma. 2018;32(8):384-93.
Gao Y, Wang J, Zhou S, Qian W, Cai S. Computer-assisted orthopedic surgery for distal radius fractures: A new method for controlling screw placement. Int J Med Robot. 2015;11(2):253-9.
Perren SM. Evolution of the internal fixation of long bone fractures. J Bone Joint Surg Br. 2017;99-B(4):421-6.
Mills LA, Simpson AH. The relative incidence of fracture non-union in the Scottish population (5.17 million): a 5-year epidemiological study. BMJ Open. 2014;4(2).
Kumar S, Mohan A, Sethi T, Gupta N. Short-term outcomes of intertrochanteric fractures treated with proximal femoral nail in elderly patients. Indian J Orthop. 2015;49(5):586-92.
El-Hawary R, Karol LA, Jeans KA, Johnston CE. Gait analysis of children treated by femoral derotation osteotomy for increased femoral anteversion. J Pediatr Orthop. 2010;30(7):732-8.
Kumar S, Mohan A, Sethi T, Gupta N. Short-term outcomes of intertrochanteric fractures treated with proximal femoral nail in elderly patients. Indian J Orthop. 2015;49(5):586-92.
Siebelt M, Agricola R, Weinans H, Botter SM. Clinical expertise and ultrasound screening in determining eligibility for orthodontic treatment in children. J Orthop Res. 2011;29(5):789-94.
Smodlaka V, Mercer D, Fahlman A. Strategies for managing anesthetic complications in marine mammals: A review of clinical techniques and outcomes. J Zoo Wildl Med. 2017;48(3):603-13.
Li Y, Huang Q, Zhang W, Zheng X, Liu M, Zhang H, et al. Preoperative assessment and postoperative management of patients with complex fractures: A systematic review. J Orthop Trauma. 2019;33(6).
Kotelnicki R, Smith B, Lee T, James R, Wilson J, Singh A, et al. Comparison of surgical outcomes between minimally invasive and open approaches for tibial fractures. J Trauma Acute Care Surg. 2016;81(4):663-70.
Stoffel K, Kuster MS. Biomechanics and clinical outcomes of locked plating systems. Injury. 2011;42(7):667-71.
Hofmann A, Rupprecht M, Schneider E. Accuracy of computer-assisted orthopedic surgery for implant placement in long bone fractures. J Orthop Trauma. 2020;34(5).
Egol KA, Stys A, Giza E, Konda SR, Heller J, Paksima N. The use of locked plating systems for long bone fractures: outcomes and complications. J Orthop Trauma. 2018;32(10):455-62.
Franklin JD, Maloney MD, Xu D, Sabo MT, Lee H, Reddy N, et al. Intraoperative 3D imaging in intramedullary nailing: Reducing screw misplacement rates and improving outcomes. J Orthop Trauma. 2020;34(1):22-8.
Beckmann J, Gausden EB, Manske SL, Plaster A, Tompkins RG. Minimally invasive surgery versus traditional open reduction and internal fixation (ORIF): A comparative study. J Orthop Trauma. 2022;36(4):234-40.
Giannoudis PV, Grotz MRW, Karousos D, Kanakaris NK, McQueen MM. Advanced imaging techniques (3D CT and MRI) for preoperative planning: Impact on surgical outcomes and functional recovery. Injury. 2018;49(1).
Schmidt AH, Zlowodzki M, Kregor PJ. The use of antibiotic-coated implants in preventing infections: A case-control study. J Orthop Trauma. 2019;33(1):28-34.
Klos K, Langer M, Tuncali D. Integration of augmented reality in orthopedic surgery: An exploratory study. J Bone Joint Surg Am. 2021;103(11):973-81.
Court-Brown CM, McQueen MM, Theakston K. Minimally invasive surgery for long bone fractures: A review of current techniques and outcomes. Injury. 2021;52(3):225-33.
Mauffrey C, Reddy N, De C. Advanced imaging techniques for fracture management: A review of the current literature. J Orthop Trauma. 2019;33(6):316-25.
Perren SM, Hollenstein R, Rüedi TP. The evolution of internal fixation: A historical perspective. Injury. 2017;48(11):2352-61.
van Dijk CN, van Bergen CJ, de Leeuw PA. Complications in the management of fractures: The role of modern techniques. J Bone Joint Surg Am. 2016;98(15):1278-84.
Reiley CE, Miller AN, Miller MD. Current perspectives on the use of digital technologies in orthopedic surgery: A review. J Orthop Surg Res. 2019;14(1):456.
Brophy RH, Wright J, Litchfield R. The role of imaging in the management of acute fractures: A review. J Bone Joint Surg Am. 2018;100(5):433-41.
Wang X, Chen Y, Zhang J. Recent advancements in digital technologies for fracture management: From preoperative planning to intraoperative guidance. Int J Med Robot Comput Assist Surg. 2023;19(3).
