Application of C-Arm technology in orthopedic trauma surgical practice

Application of C-Arm technology in orthopedic trauma surgical practice

12-08-2025

On August 9th, Hong Ngoc General Hospital successfully organized the international workshop “The Intraoperative use of C-arm Fluoroscopy in Orthopedic Trauma Surgical Practice”, gathering a distinguished panel of leading experts from around the world.

International workshop overview - Uniting medical expertise from Vietnam, Austria, Japan, and China

The workshop featured the participation of medical technology company Siemens Healthineers, along with a team of experts from four renowned orthopedic centers in Austria, Japan, Taiwan (China), and Vietnam. With seven scientific presentations and two live surgeries, the workshop attracted the participation of over 100 healthcare professionals from both Vietnam and abroad. During the presentation sessions, the experts provided updates on advanced techniques and modern treatment trends. They also emphasized the critical role of medical imaging in accurately identifying anatomical landmarks and guiding instruments during procedures such as fracture fixation, spinal endoscopy, etc.

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An overview of the workshop on “ The Intraoperative use of C-arm Fluoroscopy in Orthopedic Trauma Surgical Practice”.

Delivering the opening speech, Assoc. Prof. Trung Ha Kim, MD, PhD - Deputy Medical Director at Hong Ngoc - Phuc Truong Minh General Hospital, stated: “ The workshop provided a valuable opportunity for orthopedic surgeons to master and effectively integrate C-arm technology into the management of individual trauma cases. The program marks a promising beginning for extensive future professional collaboration and serves as a driving force for our collective efforts to elevate Vietnam’s orthopedic trauma field to new heights.”

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Assoc. Prof. Trung Ha Kim, MD, PhD delivered the opening remarks at the workshop.

Prof. Hiranaka Takafumi, MD, PhD - Director of the Joint Surgery Center, Takatsuki General Hospital, Japan affirmed: “I believe it is very helpful because, in trauma surgery, the fracture site is a three-dimensional structure, which makes it challenging to understand the different orientations and relationships of the fracture fragments. Using this technology allows for easier visualization, improves fracture fixation, shortens operation time, and enables less invasive procedures for patients”.

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Prof. Hiranaka Takafumi, MD, PhD shared at the workshop.

A key highlight of the workshop was two live surgeries broadcast directly from the operating room, which provided a practical insight into the effective application of modern technology and techniques in orthopedic trauma treatment.

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Hong Ngoc General Hospital pioneers the application of next-generation 3D C-Arm technology.

The live-streamed percutaneous pedicle screw fixation surgery for the treatment of spinal degeneration, performed by Assoc. Prof. Trung Ha Kim, MD, PhD with the expert consultation of  Prof. Priv.-Doz. Dr. Dietmar Krappinger, PhD, MBA - Deputy Director of the Level 1 Trauma Center at Innsbruck Medical University, Austria, clearly demonstrated the outstanding advantages of the next-generation 3D C-arm technology.

Patient V.T.K.O (63 years old) was diagnosed with multilevel lumbar spondylosis and disc herniation from L2/L3 to L5/S1, causing bilateral compression of the L5 and S1 nerve roots. Therefore, lumbar spine decompression and percutaneous pedicle screw fixation were required to relieve nerve compression and enable early mobilization. Thanks to its high-fidelity 3D imaging capability, the C-Arm 3D technology with integrated AI features can automatically and precisely pinpoint the location of the lesion, helping surgeons safely and effectively place screws and guide surgical instruments, while avoiding damage to nerves and soft tissue. As a result, surgical time is shortened, invasiveness is minimized, and the patient recovers more quickly and is discharged earlier.  

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3D spinal imaging on an AI-integrated 3D C-arm system.

Also at the event, a kinematically aligned, tendon- and muscle-sparing knee replacement was performed by Mr. Huy Le Quang, MD, PhD (Head of the Department of Orthopaedics and Neurosurgery at Hong Ngoc - Phuc Truong Minh General Hospital) and Prof. Hiranaka Takafumi, MD, PhD. The surgery made a strong impression due to its optimized soft-tissue preservation technique.

Patient B.T.H (73 years old) was diagnosed with left knee osteoarthritis, accompanied by a posterior root tear of the medial meniscus and meniscal degeneration. Given this condition, Dr. Huy indicated a knee replacement surgery using kinematic alignment technique without cutting muscles or tendons.This advanced technique maximizes soft tissue preservation and ensures precise alignment of the artificial knee joint with the natural axis of motion, resulting in a stable and balanced gait. It helps to minimize patient pain, enables early mobilization within 1–2 days after surgery, and reduces the risk of malalignment or dislocation.

The workshop on "The Intraoperative use of C-Arm Fluoroscopy in Orthopedic Trauma Surgical Practice" came to a successful close, delivering immense practical medical value from expert knowledge sharing to updates on modern technologies and techniques. Through this event, Hong Ngoc General Hospital once again affirmed its commitment to advancing modern medicine and its readiness to adopt and master technology, aiming to become a leading orthopedic trauma center of international standards in Vietnam.

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