Diagnostics in tarsal fusion: The theory and practise in The Netherlands
| Autor: | Mark Stegeman, Berbke To Josephine van Ginneken, Marc G. Romijn, Jan Willem K. Louwerens, René M. Castelein |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale MEDLINE Arthrodesis Computed tomography Diagnostic tools 030218 nuclear medicine & medical imaging Diagnostic modalities 03 medical and health sciences 0302 clinical medicine medicine Medical imaging Humans Orthopedics and Sports Medicine Medical physics Netherlands 030222 orthopedics Modalities medicine.diagnostic_test business.industry Clinical research Radiology Ankle business Tomography X-Ray Computed Ankle Joint |
| Zdroj: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 23(3) |
| ISSN: | 1460-9584 |
| Popis: | Background This study compares the preferences of Dutch orthopaedic surgeons for different diagnostic modalities in performing tarsal fusions versus consensus, evidence or expert opinion reported in the literature. Methods A literature search of Medline was performed to obtain evidence-based information on various diagnostic tools. In addition, 89 registered Dutch foot and ankle surgeons were sent a questionnaire concerning the diagnostic modalities use in tarsal fusion. Results Fifty-eight (65%) questionnaires were returned. The experienced surgeons measured outcomes significantly more often than other surgeons. Diagnostic injections were often used, although scant evidence exists in the literature. Postoperative diagnostics mainly consist of X-ray examination, although there is consensus in the literature that computed tomography is more accurate. Conclusions The study revealed some surprising discrepancies concerning the use of diagnostic imaging in tarsal fusion. More clinical research is needed to identify the most effective diagnostic imaging modalities so as to encourage their wider adoption. |
| Databáze: | OpenAIRE |
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