Identification of Postoperative Step-Offs and Gaps With Brodén’s View Following Open Reduction and Internal Fixation of Calcaneal Fractures
| Autor: | Rosalie C. Looijen, Siem A. Dingemans, Tim Schepers, Jens A. Halm, Manouk Backes, Dominique Misselyn |
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| Přispěvatelé: | Surgery, Graduate School, 02 Surgical specialisms, AMS - Restoration & Development, Pediatrics |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_treatment gap calcaneus 03 medical and health sciences hindfoot Fracture Fixation Internal Fractures Bone 0302 clinical medicine Calcaneal fracture medicine Internal fixation Humans Orthopedics and Sports Medicine Brodén’s view Reduction (orthopedic surgery) Orthodontics 030222 orthopedics business.industry Reproducibility of Results 030229 sport sciences Articles Middle Aged medicine.disease Open Fracture Reduction step-off fracture Fracture (geology) Surgery Female Calcaneus Imaging technique business Tomography X-Ray Computed ORIF |
| Zdroj: | Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society, 40(7), 797-802. AOFAS-American Orthopaedic Foot and Ankle Society Looijen, R C, Misselyn, D, Backes, M, Dingemans, S A, Halm, J A & Schepers, T 2019, ' Identification of Postoperative Step-Offs and Gaps With Brodén’s View Following Open Reduction and Internal Fixation of Calcaneal Fractures ', Foot and Ankle International, vol. 40, no. 7, pp. 797-802 . https://doi.org/10.1177/1071100719840812 Foot & Ankle International Foot and Ankle International, 40(7), 797-802. SAGE Publications Inc. |
| ISSN: | 1071-1007 |
| Popis: | Background: To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brodén’s view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet. Methods: Six observers estimated the size of step-offs and gaps on Brodén’s view in 42 surgically treated intra-articular calcaneal fractures. These findings were compared to postoperative CT scans (gold standard). Inter- and intraobserver reliability were calculated and compared using intraclass correlation coefficients (ICCs). Results: An accuracy of approximately 75% for both step-offs and gaps was found in foot and ankle experts. Less experienced observers correctly identified step-offs and gaps in approximately 62% of cases on fluoroscopy and in 48% on radiographs. Interobserver reliability for intraoperative fluoroscopy as well as postoperative radiographs was fair for step-offs, whereas interobserver reliability for gaps was excellent. Intraobserver reliability showed a low level of agreement for intraoperative fluoroscopy, in contrast to postoperative radiographs with excellent agreement for step-offs and good agreement for gaps. Conclusion: Our results show that especially for more experienced foot and ankle surgeons, in the majority of fractures, Brodén’s view accurately showed step-offs and gaps following open reduction and internal fixation. Interobserver reliability showed a fair level of agreement for step-offs and excellent agreement for gaps. Intraobserver reliability was only enough for radiographs, not for fluoroscopy. Level of Evidence: Level IV, case series. |
| Databáze: | OpenAIRE |
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