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orthopedic and trauma surgery

Orthopedic and trauma surgeryTake image-guided surgery to a new level

Intraoperative 3D imaging can be crucial for minimally invasive orthopedic and trauma surgery, particularly when complex fractures are involved. Studies show that intraoperative corrections are necessary for a significant number of patients who undergo minimally invasive procedures.1 Without intraoperative 3D imaging, a postoperative CT scan would be needed to assess results in 3D, and clinically relevant malplacements discovered at that point would require a separate surgery. You can potentially avoid these revision surgeries by intraoperatively planning, guiding, and evaluating fracture reduction and implant placement as well as making corrections before the patient leaves the OR.

With our imaging systems, you can take the treatment of complex fractures to a new level thanks to high-quality 2D/3D intraoperative visualization, workflow guidance, and fast evaluation of intraoperative results.

Surgery with mobile C-arms

Our mobile C-arms combine mobility, flexibility, and 3D imaging technology for detailed intraoperative visualization of anatomies and simplified evaluation of implant placement results.

Intraoperative corrections in trauma surgery are necessary for approx. 31% of upper ankle fracture treatments

  
Our imaging systems allow you to correct implant placement intraoperatively instead of during a separate revision surgery.

Image-guided surgery with Cios Spin at BG Klinik Ludwigshafen

Experience report: the impact of mobile 3D imaging

Intraoperative 3D imaging can transform the way you perform challenging fracture reductions and implant placements. In this clinical experience report, you will see how new imaging tools that feature intelligent applications help surgeons evaluate results intraoperatively.4

Scientific Talks and Publications

The statements with footnotes in this document are based on a result of the quoted clinical study that evaluates the procedure. The results are not generated with the actual product version. It is expected that the actual product version has similar or improved functionality to support the evaluated procedure.

The statements by Siemens Healthineers' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.

Some/All of the features and products described herein may not be available in the United States or other countries.

Kivanc Atesok et al., “The Use of Intraoperative Three-Dimensional Imaging (ISO-C-3D) in Fixation of Intraarticular Fractures,” Injury 38, no. 10 (2007): 1163–9, https://www.ncbi.nlm.nih.gov/pubmed/17884047;

Marcus Beck et al., “Benefit and Accuracy of Intraoperative 3D-Imaging After Pedicle Screw Placement: A Prospective Study in Stabilizing Thoracolumbar Fractures,” European Spine Journal 18, no. 10 (2009): 1469–77, https://www.ncbi.nlm.nih.gov/pubmed/19513764;

Nils Beisemann et al., “Intraoperative 3D Imaging Leads to Substantial Revision Rate in Management of Tibial Plateau Fractures in 559 Cases,” Journal of Orthopaedic Surgery and Research 14 (2019): 236, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6657091/;

Jens Geerling et al., “Intraoperative Three-Dimensional Imaging of Syndesmosis Injuries — A Multicenter Study From the AG Fuß Der DGU,” Fuß & Sprunggelenk 14, no. 2 (2016): 102–10, https://www.sciencedirect.com/science/article/pii/S161999871630040X;

Daniel Kendoff et al., “Intraoperative 3D Imaging: Value and Consequences in 248 Cases,” Journal of Trauma and Acute Care Surgery 66, no. 1 (2009): 232–8, https://www.ncbi.nlm.nih.gov/pubmed/19131832;

Jan von Recum et al., “Intraoperative 3D C-Arm Imaging. State of the Art,” Unfallchirurg 115, no. 3 (2012): 196–201, https://www.ncbi.nlm.nih.gov/pubmed/22367513;

Peter Hinnerk Richter et al., “Intraoperative Three-Dimensional Imaging With a Motorized Mobile C-Arm (SIREMOBILISO-C- 3D) in Foot and Ankle Trauma Care: A Preliminary Report,” Journal of Orthopaedic Trauma 19, no. 4 (2005): 259–66, https://journals.lww.com/jorthotrauma/Abstract/2005/04000/Intraoperative_Three_Dimensional_Imaging_With_a.6.aspx;

Benedict Swartman et al., “Wire Placement in the Sustentaculum Tali Using a 2D Projection-Based Software Application for Mobile C-Arms: Cadaveric Study,” Foot & Ankle International 39, no. 4 (2018): 485–92, https://www.ncbi.nlm.nih.gov/pubmed/29347832;

1
Klaus Wendl et al., “Eight Years’ Experience With Intraoperative Three-Dimensional Imaging: A Critical Review,” Trauma und Berufskrankheit 11, no. 3 (2009): 177–82, https://link.springer.com/article/10.1007/s10039-009-1502-5.
2
Peter Hinnerk Richter et al., “Accuracy of Computer-Assisted Iliosacral Screw Placement Using a Hybrid Operating Room,” Injury 47, no. 2 (2016): 402–7, https://www.ncbi.nlm.nih.gov/pubmed/26708797.
3
Jan von Recum et al., “Intraoperative 3D C-Arm Imaging. State of the Art,” Unfallchirurg 115, no. 3 (2012): 196–201, https://www.ncbi.nlm.nih.gov/pubmed/22367513.
4
Is employed by an institution that receives financial support from Siemens Healthineers for collaborations and/or receives financial support from Siemens Healthineers for collaborations.