3D imaging techniques for the diagnosis and surgical planning of complex limb fractures: a systematic review

Mateo Daniel Fabara Vera; David Alejandro Delgado Dávila; Claus André James Valdés; Karen Nohelia Mora Zambrano; Narcisa de Jesús Patín Chimbo; Fabian Gabriel Salas Montero

doi:10.18203/issn.2455-4510.IntJResOrthop20243418

Authors

Mateo Daniel Fabara Vera Department of Medical, Universidad de las Américas, Ecuador
David Alejandro Delgado Dávila Department of Medical, Universidad de Especialidades Espíritu Santo, Ecuador
Claus André James Valdés Traumatological Physiotherapy, Independent Investigator, Chile
Karen Nohelia Mora Zambrano Department of Medical, Ministerio de Salud Pública, Ecuador
Narcisa de Jesús Patín Chimbo Department of Medical, Occupational Health, Ecuador
Fabian Gabriel Salas Montero Department of Medical, Occupational Health, Ecuador

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243418

Keywords:

3D imaging, Complex limb fractures, Surgical planning, Diagnostic accuracy, 3D printing, Fracture management

Abstract

This systematic study will investigate how 3D imaging techniques have improved diagnosis and planning of surgeries for complex limb fractures. These fractures are caused of high-energy trauma which presents unique challenges, so advanced imaging technologies can help to mitigate them. We strictly adhere PRISMA guidelines to ensure thorough analysis and inclusion of relevant literature. The search was conducted on Web of Science and PubMed were all thoroughly searched between 2010 and 2023. Keyword combinations such as "3D imaging," "complex limb fractures," and "surgical planning" were employed using Boolean operators and as a result, 26 studies were included following screening based on strict inclusion criteria. 56% of studies used CT scans, demonstrating a 32% increase in diagnosis accuracy over 2D techniques for complicated fractures. In 28% of cases MRI improved soft tissue evaluation. 3D printing was utilized in 16% of investigations and it improved postoperative alignment in 94% of cases and shortened operating times by 18%. We can conclude that 3D imaging greatly enhances surgical planning, patient outcomes, and diagnostic precision in complex limb fractures and it provides useful resources for surgeons and patients by improving fracture visualization, reducing operating time, and promoting quicker recovery.

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