Quantifying tibial plafond fracture severity: absorbed energy and fragment displacement agree with clinical rank ordering.
Quantifying tibial plafond fracture severity: absorbed energy and fragment displacement agree with clinical rank ordering.
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DOI：
10.1002/jor.20550
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发表时间：
2008-08
影响因子：
2.8
通讯作者：
Marsh, J. Lawrence
中科院分区：
文献类型：
--
作者：
Anderson, Donald D.;Mosqueda, Teresa;ThomaS, Thaddeus;Hermanson, Evan L.;Brown, Thomas D.;Marsh, J. Lawrence
产生骨折的能量被认为是与损伤严重程度、预后和并发症风险相关的最重要因素之一，但一直没有客观的方法来测量这一重要变量。本研究的目的是比较使用新的基于CT的客观方法对骨折严重程度的评估与经验丰富的骨科创伤学家的专家意见。通过分析损伤CT扫描，对20例胫骨平台骨折的骨折能量、骨折块移位和软组织肿胀进行量化。然后，三位经验丰富的骨科创伤学家使用平片独立进行骨折严重程度的等级分析。三位临床医生之间的一致性范围为87%至91%。使用CT算法进行的客观骨折严重度测量与临床评估一致（骨折能量一致性为73 - 76%，碎片移位为82 - 89%，软组织肿胀为61 - 65%）。这些是骨折严重程度的第一个客观的、基于CT的测量。随着进一步的改进，这种概念上新颖的方法有可能作为一种有价值的工具，提供客观的测量骨折的严重程度，允许一个控制这个以前的混杂变量在大型多中心研究。
The energy of producing a fracture is considered one of the most important factors relating to injury severity, prognosis, and risk of complications, yet there has been no objective way to measure this important variable. The purpose of this study was to compare assessments of fracture severity made using new objective CT-based methods, versus the expert opinion of experienced orthopaedic traumatologists. Fracture energy, fragment displacement, and soft tissue swelling were quantified in twenty tibial plafond fractures by analyzing injury CT scans. Three experienced orthopaedic traumatologists then independently performed a rank order analysis of fracture severity, using plain radiographs. The concordance between the three clinicians ranged from 87 to 91%. Objective fracture severity measurements made with the CT algorithm agreed well with the clinical assessments (fracture energy concordance from 73 to 76%, fragment displacement 82 to 89%, and soft tissue swelling 61 to 65%). These are the first objective, CT-based measures of fracture severity. With further refinement, this conceptually novel method has the potential to serve as a valuable tool to provide objective measurement of fracture severity, allowing one to control for this previously confounding variable in large multi-center studies.
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影响因子：
2.3
作者：
Swiontkowski, MF;Sands, AK;Kreder, HJ
通讯作者：
Kreder, HJ
影响因子：
2.4
作者：
Currey, JD;Brear, K;Zioupos, P
通讯作者：
Zioupos, P
DOI：
10.1097/01.blo.0000131637.04391.40
发表时间：
2004-06-01
影响因子：
4.2
作者：
Beardsley, C;Marsh, JL;Brown, T
通讯作者：
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影响因子：
2.8
作者：
Beardsley, CL;Anderson, DD;Brown, TD
通讯作者：
Brown, TD
影响因子：
2.3
作者：
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通讯作者：
Brandser, EA