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Development of a clinical tool for evaluation of the intra-articular fracture displacement and surgically achieved fracture reduction in patients with acetabular fractures

Jochem, K.Y. (2024) Development of a clinical tool for evaluation of the intra-articular fracture displacement and surgically achieved fracture reduction in patients with acetabular fractures.

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Full Text Status:Access to this publication is restricted
Embargo date:1 October 2026
Abstract:Acetabular fractures are intra-articular injuries that can lead to premature, progressive osteoarthritis. The primary goal of acetabular fracture management is to optimize patient outcomes by accurately reconstructing the articular surface. Effective preoperative and postoperative fracture evaluation is essential for understanding fracture complexity and guiding clinical decision-making. However, no reliable, comprehensive method currently exists for such evaluations. This study aimed to develop an automated, user-independent tool for assessing intra-articular fracture displacement and surgically achieved fracture reduction in patients with acetabular fractures. A novel approach for measuring fracture displacement was proposed, involving three-dimensional distance measurements along the acetabular fracture lines. A preliminary version of the acetabular fracture evaluation tool was developed and underwent proof-of-principle validation, demonstrating its capability to measure fracture displacement preoperatively and postoperatively. Critical aspects requiring further improvement were identified, and a framework for further development of the tool was established. Focus areas for improvement of the tool include improving the effectiveness of fracture line matching concept, further developing the evaluation tool workflow to accommodate complex acetabular fractures, reducing observer dependency and increasing the tool’s accessibility for hospitals. While the current version of the tool is not yet ready for clinical application, it represents a significant step forward, offering the promising potential to enhance patient care.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Programme:Technical Medicine MSc (60033)
Link to this item:https://purl.utwente.nl/essays/103970
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