Launching an Image-Guided Percutaneous Osteosynthesis Program: A PRISM-RE-AIM Implementation Framework

Area of Science:

• Musculoskeletal Interventional Radiology
• Implementation Science

Background:

• Image-guided percutaneous osteosynthesis (IGPO) is an emerging minimally invasive technique for skeletal lesion stabilization.
• While technical feasibility and outcomes are reported, guidance for program implementation and sustainability is limited.

Purpose of the Study:

• To propose an implementation framework for launching and sustaining IGPO programs.
• To guide institutions in developing robust IGPO services.

Main Methods:

• Expert narrative review synthesizing key publications and institutional experiences.
• Framework guided by the Practical, Robust Implementation and Sustainability Model (PRISM) and RE-AIM.
• Not a systematic review or formal qualitative study.

Main Results:

• The proposed framework emphasizes institutional readiness, stakeholder engagement, and patient selection.
• It highlights the importance of imaging, anesthesia, staffing, radiation safety, and adverse event monitoring.
• Key metrics for success include technical success, patient outcomes, and resource utilization.

Conclusions:

• A structured implementation framework is crucial for successful IGPO program development.
• The framework addresses critical components from initial setup to long-term maintenance.
• Standardized metrics are essential for evaluating IGPO program effectiveness and patient impact.