Ankle fracture management using smartphone multimedia messaging service (MMS) imaging - How reliable and to what point?

Autor: O'Callaghan WB; Department of Orthopaedics, Cairns Hospital, Cairns, Queensland, Australia. Electronic address: william.b.ocallaghan@gmail.com., Nielsen DEA; Department of Orthopaedics, Pindara Private Hospital, Gold Coast, Queensland, Australia., Hope MJ; Department of Orthopaedics, Princess Alexandra Hospital, Brisbane, Queensland, Australia., Whitehouse SL; Orthopaedic Research Unit, Queensland University of Technology, The Prince Charles Hospital, Brisbane, Queensland, Australia., Tan SLE; Department of Orthopaedics, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
Jazyk: angličtina
Zdroj: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2022 Jan; Vol. 28 (1), pp. 20-24. Date of Electronic Publication: 2021 Jan 14.
DOI: 10.1016/j.fas.2021.01.004
Abstrakt: Background: The use of smartphones and multimedia messaging service (MMS) continues to increase in day to day orthopaedic clinical practice. However, there is limited evidence to support the safe utilisation of MMS.
Objectives: The aim of this study was to correlate the performance of MMS imaging to picture archiving and communication systems (PACS) imaging within the setting of diagnosis and management of ankle fractures.
Methods: The ankle fracture radiograph series of 82 consecutive patients were evaluated by five orthopaedic consultant specialists. A questionnaire regarding diagnosis and preferred management was completed separately for each patient using smartphone and PACS images. Statistical analysis was performed using Intraclass Correlation Coefficient (ICC).
Results: Ankle fracture diagnosis showed strong to excellent correlation both inter- and intraobserver MMS vs PACS when using the Weber (0.815, 0.988), Anatomical (0.858, 0.988), and AO classification systems (0.855, 0.985). MMS was less reliable than PACS in determining many management options.
Conclusion: The reliability of ankle fracture classification using MMS image viewing was not significantly different to interpretation on PACS workstations. Smartphone use in ankle fracture classification is supported by this study. Smartphone use was less accurate than PACS in devising management plans and future use should be limited to making only initial plans that must be corroberated with PACS and intraoperative findings prior to definitive fixation.
(Copyright © 2021 European Foot and Ankle Society. All rights reserved.)
Databáze: MEDLINE
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