Enabling Technology in Fracture Surgery: State of the Art.

J Bone Joint Surg Am · May 27 2025 · Review

Farid AR, Comtesse S, Sagi HC, Frosch KH, Weaver MJ, Yoon RS, et al.

Harvard Orthopaedic Trauma Initiative, Boston, Massachusetts

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis state-of-the-art review covers emerging fracture surgery technologies—3D printing, navigation, augmented/virtual reality, and 3D-printed implants—and their roles in surgical planning and outcomes.
Abstract, as published

➢ Three-dimensional (3D) printing and virtual modeling, using computed tomographic (CT) scans as a base for the 3D-printed model, help surgeons to visualize relevant anatomy, may provide a better understanding of fracture planes, may help to plan surgical approaches, and can possibly simulate surgical fixation options.➢ Navigation systems create real-time 3D maps of patient anatomy intraoperatively, with most literature in orthopaedic trauma thus far demonstrating efficacy in percutaneous screw placement using preoperative imaging data or intraoperative markers.➢ Augmented reality and virtual reality are new applications in orthopaedic trauma, with the former in particular demonstrating the potential utility in intraoperative visualization of implant placement.➢ Use of 3D-printed metal implants has been studied in limited sample sizes thus far. However, early results have suggested that they may have good efficacy in improving intraoperative measures and postoperative outcomes.

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