Radiological measurement of pelvic fractures using a pelvic deformity measurement software program
| Autor: | Peifu Tang, Gongzi Zhang, Shuwei Zhang, Ye Peng, Wang Xiang, Lihai Zhang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system medicine.medical_treatment Radiography Pelvic fractures 03 medical and health sciences Fractures Bone Random Allocation 0302 clinical medicine Software Imaging Three-Dimensional lcsh:Orthopedic surgery medicine Humans Orthopedics and Sports Medicine Displacement (orthopedic surgery) Single-Blind Method 030212 general & internal medicine 3D reconstruction Prospective Studies Pelvic Bones Reduction (orthopedic surgery) Pelvis Orthodontics Method and formulas business.industry Pelvic closed reduction 030208 emergency & critical care medicine Gold standard (test) Middle Aged medicine.disease Measurement software program lcsh:RD701-811 medicine.anatomical_structure Orthopedic surgery Pelvic fracture Surgery Female lcsh:RC925-935 business Tomography X-Ray Computed Research Article |
| Zdroj: | Journal of Orthopaedic Surgery and Research Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-9 (2020) |
| ISSN: | 1749-799X |
| Popis: | Background It is difficult for the surgeon to measure pelvic displacement in the closed reduction operation for unstable pelvic fracture. We therefore developed a pelvic deformity measurement software program based on standardized radiographs. The objectives of the present study were to evaluate the inter-observer reliability of the program for measuring specific fracture types on preoperative pelvic films and to assess the validity of the measurement software program by comparing it with a gold standard. Methods Twenty-five patients diagnosed with AO/OTA type B or C pelvic fractures with the unilateral pelvis fractured and dislocated were included in this study. Four separate observers repeatedly determined the translational and rotational patterns and outcomes using the software program and hand measurement, and calculated the displacement using computed tomography (CT) coupled with a three-dimensional (3D) CT model. The validity of the measurement software was calculated by assessing the consistency between the software measurements and the gold standard. Additionally, inter-observer reliability was assessed for the software. The software was also applied in preliminary clinical practice for closed reduction procedures. Results The overall inter-observer reliabilities of the software program, CT coupled with 3D reconstruction, and hand measurements were high, with kappa values of 0.956, 0.958, and 0.853, respectively. The software showed validity similar to that of CT coupled with 3D reconstruction (0.939 vs. 0.969), and better than that of hand measurement (0.939 vs. 0.858). A preliminary clinical application demonstrated that the software is effective for guiding closed reduction of pelvic fractures. Conclusions Our newly established pelvic deformity measurement program is a reliable and accurate tool for analyzing pelvic displacement patterns and can be used for guidance of closed reduction and planning of the reduction pathway. Level of evidence III |
| Databáze: | OpenAIRE |
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