INTRAOPERATIVE COMPUTED TOMOGRAPHY: AN ADVANCED APPROACH FOR VISUALIZATION OF FIXATION MATERIAL IN DISTAL RADIUS FRACTURES.

Objective: To compare the efficacy of 2D fluoroscopy with intraoperative computed tomography (CT) in detecting intra-articular screws that extend beyond the dorsal cortex in distal radius fractures. Methods: Prospective study of 10 patients undergoing osteosynthesis of distal radius fractures, evaluating the accuracy of 2D fluoroscopy and intraoperative CT. Results: 2D fluoroscopy did not identify inadequate positioning, while intraoperative CT detected 20% of intra-articular screws and 60% of screws going beyond the dorsal cortex. Conclusion: Intraoperative CT is more effective in detecting inadequate positioning of the synthesis material and may prevent future complications. Level of Evidence III; Prospective d comparative study e.