Value of a radiographic score for the assessment of healing of nailed femoral and tibial shaft fractures: A retrospective preliminary study.
Details
Serval ID
serval:BIB_EBBC8A8DAE66
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Value of a radiographic score for the assessment of healing of nailed femoral and tibial shaft fractures: A retrospective preliminary study.
Journal
European journal of radiology
ISSN
1872-7727 (Electronic)
ISSN-L
0720-048X
Publication state
Published
Issued date
01/2018
Peer-reviewed
Oui
Volume
98
Pages
36-40
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To assess the value of a radiographic score for the detection of delayed union in nailed fractures.
The modified radiographic union score (mRUS) values were determined by three separate radiologists on 259 radiographic sets of 58 nailed tibial or femoral fractures obtained at different timepoints after fracture (mean of 4.5 radiographic sets per fracture). A surgeon determined fracture outcome (normal or delayed union) at a mean of 192days after injury. Mean radiographic scores obtained at different timepoints after fracture were compared between fractures with normal or abnormal healing at follow-up.
The mean score values increased significantly over time for fractures with normal healing for all readers (p<0.001). The mean score values determined 11-14 weeks after injury were higher in fractures with normal healing than in fractures with delayed union at follow-up (p<0.05). Scoring of radiographs obtained at about 3 months after injury or later enabled detection of fractures with delayed union with a sensitivity of 0.63-0.77 and a specificity of 1.0 (area under curve: 0.77- 0.88).
The mRUS score can contribute to the detection of delayed union at a delay of about 3 months after injury in nailed shaft fractures.
The modified radiographic union score (mRUS) values were determined by three separate radiologists on 259 radiographic sets of 58 nailed tibial or femoral fractures obtained at different timepoints after fracture (mean of 4.5 radiographic sets per fracture). A surgeon determined fracture outcome (normal or delayed union) at a mean of 192days after injury. Mean radiographic scores obtained at different timepoints after fracture were compared between fractures with normal or abnormal healing at follow-up.
The mean score values increased significantly over time for fractures with normal healing for all readers (p<0.001). The mean score values determined 11-14 weeks after injury were higher in fractures with normal healing than in fractures with delayed union at follow-up (p<0.05). Scoring of radiographs obtained at about 3 months after injury or later enabled detection of fractures with delayed union with a sensitivity of 0.63-0.77 and a specificity of 1.0 (area under curve: 0.77- 0.88).
The mRUS score can contribute to the detection of delayed union at a delay of about 3 months after injury in nailed shaft fractures.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Female, Femoral Fractures/diagnostic imaging, Femoral Fractures/therapy, Fracture Healing, Humans, Male, Middle Aged, Radiography/methods, Reproducibility of Results, Retrospective Studies, Tibial Fractures/diagnostic imaging, Tibial Fractures/therapy, Treatment Outcome, Young Adult, Bone, Delayed union, Fracture, Healing, Predictive value, Score
Pubmed
Web of science
Create date
29/12/2017 14:19
Last modification date
20/08/2019 17:13
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