Comparison between standard radiography and spiral CT with 3D reconstruction in the evaluation, classification and management of tibial plateau fractures.

Details

Serval ID
serval:BIB_69B5BB66FB6C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison between standard radiography and spiral CT with 3D reconstruction in the evaluation, classification and management of tibial plateau fractures.
Journal
European radiology
Author(s)
Wicky S., Blaser P.F., Blanc C.H., Leyvraz P.F., Schnyder P., Meuli R.A.
ISSN
0938-7994
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
10
Number
8
Pages
1227-32
Language
english
Notes
Publication types: Comparative Study ; Journal Article - Publication Status: ppublish
Abstract
The aim of this study was to compare the diagnostic efficiency of plain film and spiral CT examinations with 3D reconstructions of 42 tibial plateau fractures and to assess the accuracy of these two techniques in the pre-operative surgical plan in 22 cases. Forty-two tibial plateau fractures were examined with plain film (anteroposterior, lateral, two obliques) and spiral CT with surface-shaded-display 3D reconstructions. The Swiss AO-ASIF classification system of bone fracture from Muller was used. In 22 cases the surgical plans and the sequence of reconstruction of the fragments were prospectively determined with both techniques, successively, and then correlated with the surgical reports and post-operative plain film. The fractures were underestimated with plain film in 18 of 42 cases (43%). Due to the spiral CT 3D reconstructions, and precise pre-operative information, the surgical plans based on plain film were modified and adjusted in 13 cases among 22 (59%). Spiral CT 3D reconstructions give a better and more accurate demonstration of the tibial plateau fracture and allows a more precise pre-operative surgical plan.
Keywords
Adult, Aged, Aged, 80 and over, Female, Humans, Imaging, Three-Dimensional, Knee Injuries, Male, Middle Aged, Prospective Studies, Sensitivity and Specificity, Tibial Fractures, Tomography, X-Ray Computed
Pubmed
Web of science
Create date
10/04/2008 16:02
Last modification date
20/08/2019 14:24
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