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3D visualization of screws with Cios Spin for fixation of upper ankle joint fracture

Fixation of upper ankle joint fracturesStreamlining trauma surgery with our mobile 3D C-arm

Our advanced mobile C-arm Cios Spin brings the power of 3D imaging to your routine surgical workflows, so that you can control the results of your surgery intraoperatively.

Enhanced visualization for complex fractures
Depending on the type and location of a fracture – such as complex cases affecting the upper ankle joint – conventional 2D imaging may not give you enough detail for precise evaluation of the fracture reduction and k-wire or screw positioning. Cios Spin lets you visualize anatomical structures, implants, and screws using high-resolution 3D imaging directly in the OR. This means you do not have to wait for the postoperative CT scan and risk a revision surgery because of potential misplacements – you can make corrections right away.

Discover our ankle fracture fixation workflow

Cios Spin assists you during surgical procedures by enabling intraoperative 3D visualization of the pathology of the fracture or the quality of the fracture reduction. The guidance software Target Pointer displays the k-wire trajectory to help you avoid the bone loss associated with multiple insertion attempts. Our flagship mobile C-arm also permits 3D control of results directly in the OR in just 30 seconds.

    Images courtesy of BG Klinik Ludwigshafen, Ludwigshafen, Germany

    Hear what our customers are saying

    "Manually preparing the three relevant projections for four screws can take several minutes. With the new software application, this is a matter of seconds. Screw Scout helps me save time, and it also increases patient safety because it reduces the overall length of the surgery."
    Jochen Franke, MD*Head of the Division of Trauma, BG Klinik Ludwigshafen, Germany
    Jochen Franke, MD*
    Head of the Division of Trauma, BG Klinik Ludwigshafen, Germany

    In this clinical video, Dr. Franke treats an upper ankle joint fracture using intraoperative 3D imaging. He explains in detail how different software tools provided by Cios Spin enable him to perform this surgery.

    Review the clinical evidence

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

    Performing a revision surgery to correct misplaced implants can carry a risk of complications, so intraoperative corrections are preferable. A study that examined upper ankle fracture treatment using 3D-capable mobile C-arms found that intraoperative corrections were performed in 30.9% of cases during an eight-year period. Since the misplacements would otherwise have only been detected in a postoperative CT scan, correcting them would have required a revision surgery.2

    Our mobile 3D C-arm

    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.
    *Is employed by an institution that receives financial support from Siemens Healthineers for collaborations and/or receives financial support from Siemens Healthineers for collaborations.
    Some/All of the features and products described herein may not be available in the United States or other countries.
    1
    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.
    2
    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.