Can we assess healing of surgically treated long bone fractures on radiograph?

Détails

ID Serval
serval:BIB_0E55F4A4ED55
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Can we assess healing of surgically treated long bone fractures on radiograph?
Périodique
Diagnostic and interventional imaging
Auteur(s)
Perlepe V., Omoumi P., Larbi A., Putineanu D., Dubuc J.E., Schubert T., Vande Berg B.
ISSN
2211-5684 (Electronic)
ISSN-L
2211-5684
Statut éditorial
Publié
Date de publication
06/2018
Peer-reviewed
Oui
Volume
99
Numéro
6
Pages
381-386
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To determine the frequency and causes for limitations in the radiographic evaluation of surgically treated long bone fractures.
Six readers separately scored 140 sets of antero-posterior (AP) and lateral radiographs of surgically treated long bone fractures, using a radiographic union score (RUS). We determined the rate of assessability of the fracture edges at each of the four cortical segments (n=560) seen tangentially on the two radiographs and the causes for non-assessability. The rate of feasibility of the RUS (more than two fracture edges assessable per fracture) was determined and compared according to different parameters.
Fracture edges were visible in 71% to 81% of the 560 cortical segments. Metal hardware superimposition was the most frequent cause for non-assessability (79-95%). RUS values could be calculated in 58% to 75% of fractures. Scoring was statistically significantly less frequently calculable in plated (31-56%) than in nailed fractures (90-97%), in distal (47-61%) than in proximal (78-89%) bones and in upper (27-49%) than in lower (76-91%) limb bones (P≤0.01).
The type of stabilization hardware is the main limiting factor in the radiographic assessment of surgically treated long bone fractures. Scoring was feasible in only 31% to 56% of plated fractures.
Mots-clé
Adolescent, Adult, Aged, Female, Fracture Healing, Fractures, Bone/diagnostic imaging, Fractures, Bone/surgery, Humans, Male, Middle Aged, Observer Variation, Radiography, Young Adult, Bone, Bone fracture, Healing, Radiographs, Variability study
Pubmed
Web of science
Création de la notice
22/03/2018 19:02
Dernière modification de la notice
20/08/2019 13:35
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