Assessment of osteosynthesis in X-ray images
Abstract
Osteosynthesis refers to various surgical procedures, closed or open, for the treatment of fractures of any age. To document and control the osteosynthesis and the healing process X‑ray controls of the affected skeletal segment are performed during the operation and at regular intervals. To assess the quality of an osteosynthesis or to identify a complication, a comprehensive and systematic image review is useful. This includes the assessment of the restoration of the functional anatomy, the position of the material in relation to the surrounding structures, an evaluation of the stability as far as this is possible, and a control of the bone healing in a functionally correct position.
Unter Osteosynthesen versteht man verschiedenste Operationsverfahren, geschlossen oder offen, zur Versorgung von Frakturen in jedwedem Alter. Zur Dokumentation und Kontrolle der Osteosynthese und des Heilverlaufs werden im Operationssaal und im Verlauf in regelmäßigen Zeitabständen Röntgenkontrollen des betroffenen Skelettabschnitts angefertigt. Zur Beurteilung der Güte einer Osteosynthese oder zur Feststellung einer Komplikation ist eine umfassende und systematische Bildbetrachtung sinnvoll. Hierzu gehören die Beurteilung der Wiederherstellung der funktionellen Anatomie und der Lage des Materials in Relation zu den umgebenden Strukturen sowie, falls möglich, der Stabilität sowie eine Kontrolle der Knochenheilung in funktionsgerechter Stellung.
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