Evolution of fracture treatment with bone plates.

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Abstract

[Indexed for MEDLINE] 11. Injury. 2023 Mar;54 Suppl 1:S46-S52. doi: 10.1016/j.injury.2020.11.014. Epub 2020 Nov 7. Assessment of fracture healing in orthopaedic trauma. Bizzoca D(1), Vicenti G(2), Caiaffa V(3), Abate A(3), De Carolis O(3), Carrozzo M(1), Solarino G(1), Moretti B(1). Author information: (1)School of Medicine, University of Bari Aldo Moro, AOU Consorziale "Policlinico", Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic & Trauma Unit, Bari, Italy. (2)School of Medicine, University of Bari Aldo Moro, AOU Consorziale "Policlinico", Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic & Trauma Unit, Bari, Italy. Electronic address: dott.gvicenti@gmail.com. (3)Orthopaedic and Traumatology Unit, "Di Venere" Hospital, Bari, Italy. Fracture healing is a complex physiologic process, relying on the crucial interplay between biological and mechanical factors. It is generally assessed using imaging modalities, including conventional radiology, CT, MRI and ultrasound (US), based on the fracture and patient features. Although these techniques are routinely used in orthopaedic clinical practice, unfortunately, they do not provide any information about the biomechanical status of the fracture site. Therefore, in recent years, several non-invasive techniques have been proposed to assess bone healing using ultrasonic wave propagation, changes in electrical properties of bones and callus stiffness measurement. Moreover, different research groups are currently developing smart orthopaedic implants (plates, intramedullary nails and external fixators), able to provide information about the fracture healing process. These devices could significantly improve orthopaedic and trauma clinical practice in the future and, at the same time, reduce patients' exposure to X-rays. This study aims to define the role of traditional imaging techniques and emerging technologies in the assessment of the fracture healing process. Copyright © 2020. Published by Elsevier Ltd. DOI: 10.1016/j.injury.2020.11.014