Radiographic evaluations: Which are most effective to follow fracture healing?

Autor: Emil H. Schemitsch, Yousif Atwan
Rok vydání: 2020
Předmět:
musculoskeletal diseases
Intraobserver reliability
medicine.medical_specialty
Time Factors
Radiography
Nonunion
Fracture healing
Bone healing
Risk Assessment
Hip fracture
03 medical and health sciences
0302 clinical medicine
Quality of life
Predictive Value of Tests
Risk Factors
Evaluation methods
Medicine and Health Sciences
medicine
Humans
Reliability (statistics)
General Environmental Science
Fracture Healing
Observer Variation
Interobserver reliability
030222 orthopedics
Hip Fractures
business.industry
Radiographic union
Score
Reproducibility of Results
030208 emergency & critical care medicine
medicine.disease
Tibial Fractures
surgical procedures
operative
Fractures
Ununited
Orthopedic surgery
Quality of Life
Physical therapy
General Earth and Planetary Sciences
Tibial fracture
business
Zdroj: Bone and Joint Institute
ISSN: 0020-1383
DOI: 10.1016/j.injury.2019.12.028
Popis: © 2020 Elsevier Ltd The assessment of fracture healing is an imperative and fundamental clinical aspect within orthopaedics. Despite that, there have historically been non-reliable methods utilized to assess for fracture union and nonunion. In recent years, a number of radiographic assessment tools such as the Radiographic Union Score for Tibial fractures (RUST) and Radiographic Union Score for Hip fracture (RUSH) have been developed in order to improve the reliability of fracture assessment for union. These scores have not only increased the reliability of assessments but have also provided thresholds to aid in predicting nonunion as well as union. The nonunion risk determination (NURD) Score was also created to prognosticate these clinical presentations. With the large burdens of cost, lower quality of life and morbidity associated with fracture nonunion, these evaluation methods have provided orthopaedic surgeons with an improved ability to predict nonunion and assist in the management of patients. This review outlines the development, reliability testing as well as biomechanical validity testing associated with these scoring systems.
Databáze: OpenAIRE
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