Routine postoperative computed tomography (CT) scans following acetabulum open reduction internal fixation (ORIF): A survey of orthopaedic traumatologists
•A 20-question survey assessed a surgeon's preference and rationale for or against use of postoperative CT scans for acetabular fractures.•Fifty-seven surgeons completed the survey: 16 routinely ordered postoperative CT scans, while 41 did not routinely order the scans.•Reasons for routine post...
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Veröffentlicht in: | Injury 2023-06, Vol.54 (6), p.1711-1715 |
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Sprache: | eng |
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Zusammenfassung: | •A 20-question survey assessed a surgeon's preference and rationale for or against use of postoperative CT scans for acetabular fractures.•Fifty-seven surgeons completed the survey: 16 routinely ordered postoperative CT scans, while 41 did not routinely order the scans.•Reasons for routine postoperative CT scans were for educational purposes, evaluation of hardware placement, and assessment of reduction.•Opposing reasons: results unlikely to change postoperative course, reduction assessed intraoperatively, and hardware placement assessed intraoperatively.•The clinical benefit to the patient outweighs the cost, time, and additional radiation exposure when ordering a postoperative CT scan.
The purpose of this study was to assess the practices related to obtaining postoperative pelvic CT scans following acetabular ORIF and revision surgery rates.
A 20-question survey published on the Orthopaedic Trauma Association (OTA) website assessed each surgeon's preference and rationale for or against the routine use of postoperative CT scans for acetabular fractures.
Fellowship-trained orthopaedic traumatologists.
We examined the percentage of surgeons ordering routine postoperative CT scans, surgeon demographics, and revision surgery rates based on these routine CT scan results.
Responses were received from 57 surgeons. Practices varied regarding postoperative CT scans, with 16 surgeons (28%, Group A) routinely ordering them and 41 surgeons (72%, Group B) not ordering them on all patients. No significant difference in surgeon demographics were found between the groups. Majority of Group A report a revision surgery rate of |
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ISSN: | 0020-1383 1879-0267 |
DOI: | 10.1016/j.injury.2023.02.041 |