The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures
Purpose To investigate the capability of intra-operative fluoroscopy to determine the reduction quality of intertrochanteric fractures and to determine which view (anteroposterior [AP] or lateral) can better predict the reduction quality. Methods A retrospective analysis of 128 patients with intertr...
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| Veröffentlicht in: | International orthopaedics 2020-06, Vol.44 (6), p.1201-1208 |
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| creator | Jia, Xiaoyang Zhang, Kun Qiang, Minfei Chen, Yanxi |
| description | Purpose
To investigate the capability of intra-operative fluoroscopy to determine the reduction quality of intertrochanteric fractures and to determine which view (anteroposterior [AP] or lateral) can better predict the reduction quality.
Methods
A retrospective analysis of 128 patients with intertrochanteric fractures. Two observers were asked to independently evaluate the quality of reduction (positive or non-positive support) based on intra-operative fluoroscopy (AP and lateral view). Results based on CT scans were considered as the gold standard. Sensitivity, specificity, percentage of correct interpretations, and agreement were calculated.
Results
At the first reading, sensitivity, false-negative rate, specificity, false-positive rate, and percentage of correct interpretations were 86.1%, 13.9%, 69.4%, 30.6%, and 79.7% for junior resident and 81.0%, 19.0%, 67.3%, 32.7%, and 75.8% for senior resident (all
p
> 0.05). It was highly predictive of a reliable cortical support when cortical position in AP view was consistent with that in lateral view (85/85, 100% for junior, and 86/86, 100% for senior). Lateral view was generally predictive of a final cortical support when the position between AP and lateral view was inconsistent (90.7% [39/43] vs 9.3% [4/43] for junior,
p
|
| doi_str_mv | 10.1007/s00264-020-04533-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2386431906</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2386431906</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-d15e4c9fa765697682cbd21197ff73ae700659eaeec962f6186746913a319c4f3</originalsourceid><addsrcrecordid>eNqNkE1r3DAQhkVpaLZp_0APxcdCcTP6sGQfy5J-QKCX5Cy02lFWwWs5-siy_77aOMmxVBcJ5nlnRg8hnyh8owDqMgEwKVpg0ILoOG8Pb8iKCs7ajg7dW7ICLmjL5NCdk_cp3QNQJXv6jpxzxkTPpFqReLPDxlhborHHJrjGTzmaNswYTfaP2LixhBiSDfOx1hp8NGOplemuyTUZcVts9mFqHooZfX5pgTHHYHfm9PK22fm5cXVCLhHTB3LmzJjw4_N9QW5_XN2sf7XXf37-Xn-_bi0XKrdb2qGwgzNKdnKoizO72TJKB-Wc4gYVgOwGNIh2kMxJ2ksl5EC54XSwwvEL8mXpO8fwUDBlvffJ4jiaCUNJmvFeisqCrChbUFu_miI6PUe_N_GoKeiTa7241tW1fnKtDzX0-bl_2exx-xp5kVuBfgEOuAkuWY-TxVcMADrGBXRwOnztszmJXIcy5Rr9-v_RSvOFTpWY7jDq-1DiVOX-a_-_wUitQw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2386431906</pqid></control><display><type>article</type><title>The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures</title><source>MEDLINE</source><source>Springer Online Journals Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><creator>Jia, Xiaoyang ; Zhang, Kun ; Qiang, Minfei ; Chen, Yanxi</creator><creatorcontrib>Jia, Xiaoyang ; Zhang, Kun ; Qiang, Minfei ; Chen, Yanxi</creatorcontrib><description>Purpose
To investigate the capability of intra-operative fluoroscopy to determine the reduction quality of intertrochanteric fractures and to determine which view (anteroposterior [AP] or lateral) can better predict the reduction quality.
Methods
A retrospective analysis of 128 patients with intertrochanteric fractures. Two observers were asked to independently evaluate the quality of reduction (positive or non-positive support) based on intra-operative fluoroscopy (AP and lateral view). Results based on CT scans were considered as the gold standard. Sensitivity, specificity, percentage of correct interpretations, and agreement were calculated.
Results
At the first reading, sensitivity, false-negative rate, specificity, false-positive rate, and percentage of correct interpretations were 86.1%, 13.9%, 69.4%, 30.6%, and 79.7% for junior resident and 81.0%, 19.0%, 67.3%, 32.7%, and 75.8% for senior resident (all
p
> 0.05). It was highly predictive of a reliable cortical support when cortical position in AP view was consistent with that in lateral view (85/85, 100% for junior, and 86/86, 100% for senior). Lateral view was generally predictive of a final cortical support when the position between AP and lateral view was inconsistent (90.7% [39/43] vs 9.3% [4/43] for junior,
p
< 0.001; 92.9% [39/42] vs 7.1% [3/42] for senior). Comparable results were reported at the second reading. The average inter-observer and intra-observer agreement was 0.670 and 0.654, respectively.
Conclusions
We should ensure the cortical support for both AP and lateral view are positive intra-operatively as far as possible. Even if this is not possible, we need to make sure the lateral position is positive support.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-020-04533-w</identifier><identifier>PMID: 32248267</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Female ; Fluoroscopy - methods ; Hip Fractures - diagnostic imaging ; Hip Fractures - surgery ; Humans ; Life Sciences & Biomedicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Retrospective Studies ; Science & Technology ; Tomography, X-Ray Computed - methods</subject><ispartof>International orthopaedics, 2020-06, Vol.44 (6), p.1201-1208</ispartof><rights>SICOT aisbl 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>14</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000523405000003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c347t-d15e4c9fa765697682cbd21197ff73ae700659eaeec962f6186746913a319c4f3</citedby><cites>FETCH-LOGICAL-c347t-d15e4c9fa765697682cbd21197ff73ae700659eaeec962f6186746913a319c4f3</cites><orcidid>0000-0002-6238-7947 ; 0000-0001-7442-4787 ; 0000-0002-4021-6020 ; 0000-0003-1236-6299</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-020-04533-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-020-04533-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,28253,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32248267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jia, Xiaoyang</creatorcontrib><creatorcontrib>Zhang, Kun</creatorcontrib><creatorcontrib>Qiang, Minfei</creatorcontrib><creatorcontrib>Chen, Yanxi</creatorcontrib><title>The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>INT ORTHOP</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
To investigate the capability of intra-operative fluoroscopy to determine the reduction quality of intertrochanteric fractures and to determine which view (anteroposterior [AP] or lateral) can better predict the reduction quality.
Methods
A retrospective analysis of 128 patients with intertrochanteric fractures. Two observers were asked to independently evaluate the quality of reduction (positive or non-positive support) based on intra-operative fluoroscopy (AP and lateral view). Results based on CT scans were considered as the gold standard. Sensitivity, specificity, percentage of correct interpretations, and agreement were calculated.
Results
At the first reading, sensitivity, false-negative rate, specificity, false-positive rate, and percentage of correct interpretations were 86.1%, 13.9%, 69.4%, 30.6%, and 79.7% for junior resident and 81.0%, 19.0%, 67.3%, 32.7%, and 75.8% for senior resident (all
p
> 0.05). It was highly predictive of a reliable cortical support when cortical position in AP view was consistent with that in lateral view (85/85, 100% for junior, and 86/86, 100% for senior). Lateral view was generally predictive of a final cortical support when the position between AP and lateral view was inconsistent (90.7% [39/43] vs 9.3% [4/43] for junior,
p
< 0.001; 92.9% [39/42] vs 7.1% [3/42] for senior). Comparable results were reported at the second reading. The average inter-observer and intra-observer agreement was 0.670 and 0.654, respectively.
Conclusions
We should ensure the cortical support for both AP and lateral view are positive intra-operatively as far as possible. Even if this is not possible, we need to make sure the lateral position is positive support.</description><subject>Adult</subject><subject>Female</subject><subject>Fluoroscopy - methods</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkE1r3DAQhkVpaLZp_0APxcdCcTP6sGQfy5J-QKCX5Cy02lFWwWs5-siy_77aOMmxVBcJ5nlnRg8hnyh8owDqMgEwKVpg0ILoOG8Pb8iKCs7ajg7dW7ICLmjL5NCdk_cp3QNQJXv6jpxzxkTPpFqReLPDxlhborHHJrjGTzmaNswYTfaP2LixhBiSDfOx1hp8NGOplemuyTUZcVts9mFqHooZfX5pgTHHYHfm9PK22fm5cXVCLhHTB3LmzJjw4_N9QW5_XN2sf7XXf37-Xn-_bi0XKrdb2qGwgzNKdnKoizO72TJKB-Wc4gYVgOwGNIh2kMxJ2ksl5EC54XSwwvEL8mXpO8fwUDBlvffJ4jiaCUNJmvFeisqCrChbUFu_miI6PUe_N_GoKeiTa7241tW1fnKtDzX0-bl_2exx-xp5kVuBfgEOuAkuWY-TxVcMADrGBXRwOnztszmJXIcy5Rr9-v_RSvOFTpWY7jDq-1DiVOX-a_-_wUitQw</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Jia, Xiaoyang</creator><creator>Zhang, Kun</creator><creator>Qiang, Minfei</creator><creator>Chen, Yanxi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6238-7947</orcidid><orcidid>https://orcid.org/0000-0001-7442-4787</orcidid><orcidid>https://orcid.org/0000-0002-4021-6020</orcidid><orcidid>https://orcid.org/0000-0003-1236-6299</orcidid></search><sort><creationdate>20200601</creationdate><title>The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures</title><author>Jia, Xiaoyang ; Zhang, Kun ; Qiang, Minfei ; Chen, Yanxi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-d15e4c9fa765697682cbd21197ff73ae700659eaeec962f6186746913a319c4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Female</topic><topic>Fluoroscopy - methods</topic><topic>Hip Fractures - diagnostic imaging</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jia, Xiaoyang</creatorcontrib><creatorcontrib>Zhang, Kun</creatorcontrib><creatorcontrib>Qiang, Minfei</creatorcontrib><creatorcontrib>Chen, Yanxi</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jia, Xiaoyang</au><au>Zhang, Kun</au><au>Qiang, Minfei</au><au>Chen, Yanxi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><stitle>INT ORTHOP</stitle><addtitle>Int Orthop</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>44</volume><issue>6</issue><spage>1201</spage><epage>1208</epage><pages>1201-1208</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
To investigate the capability of intra-operative fluoroscopy to determine the reduction quality of intertrochanteric fractures and to determine which view (anteroposterior [AP] or lateral) can better predict the reduction quality.
Methods
A retrospective analysis of 128 patients with intertrochanteric fractures. Two observers were asked to independently evaluate the quality of reduction (positive or non-positive support) based on intra-operative fluoroscopy (AP and lateral view). Results based on CT scans were considered as the gold standard. Sensitivity, specificity, percentage of correct interpretations, and agreement were calculated.
Results
At the first reading, sensitivity, false-negative rate, specificity, false-positive rate, and percentage of correct interpretations were 86.1%, 13.9%, 69.4%, 30.6%, and 79.7% for junior resident and 81.0%, 19.0%, 67.3%, 32.7%, and 75.8% for senior resident (all
p
> 0.05). It was highly predictive of a reliable cortical support when cortical position in AP view was consistent with that in lateral view (85/85, 100% for junior, and 86/86, 100% for senior). Lateral view was generally predictive of a final cortical support when the position between AP and lateral view was inconsistent (90.7% [39/43] vs 9.3% [4/43] for junior,
p
< 0.001; 92.9% [39/42] vs 7.1% [3/42] for senior). Comparable results were reported at the second reading. The average inter-observer and intra-observer agreement was 0.670 and 0.654, respectively.
Conclusions
We should ensure the cortical support for both AP and lateral view are positive intra-operatively as far as possible. Even if this is not possible, we need to make sure the lateral position is positive support.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32248267</pmid><doi>10.1007/s00264-020-04533-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6238-7947</orcidid><orcidid>https://orcid.org/0000-0001-7442-4787</orcidid><orcidid>https://orcid.org/0000-0002-4021-6020</orcidid><orcidid>https://orcid.org/0000-0003-1236-6299</orcidid></addata></record> |
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| subjects | Adult Female Fluoroscopy - methods Hip Fractures - diagnostic imaging Hip Fractures - surgery Humans Life Sciences & Biomedicine Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Retrospective Studies Science & Technology Tomography, X-Ray Computed - methods |
| title | The accuracy of intra-operative fluoroscopy in evaluating the reduction quality of intertrochanteric hip fractures |
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