Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau,
Objectives:To evaluate the concordance among knee surgery specialists regarding the classification and surgical technique indicated in cases of tibial plateau fracture, using conventional radiographs and computed tomography.Methods:Forty-four patients with fractures of the tibial plateau shown on ra...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2014-12-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600593&lng=en&tlng=en |
| _version_ | 1797225191643807744 |
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| author | Clécio de Lima Lopes Carlos Antônio da Rocha Cândido Filho Thiago Almeida de Lima e Silva Marcelo Carvalho Krause Gonçalves Ricardo Lyra de Oliveira Paulo Rogério Gomes de Lima |
| author_facet | Clécio de Lima Lopes Carlos Antônio da Rocha Cândido Filho Thiago Almeida de Lima e Silva Marcelo Carvalho Krause Gonçalves Ricardo Lyra de Oliveira Paulo Rogério Gomes de Lima |
| author_sort | Clécio de Lima Lopes |
| collection | DOAJ |
| description | Objectives:To evaluate the concordance among knee surgery specialists regarding the classification and surgical technique indicated in cases of tibial plateau fracture, using conventional radiographs and computed tomography.Methods:Forty-four patients with fractures of the tibial plateau shown on radiographic and tomographic images were selected. These were evaluated by specialists at two different times, with an interval of seven days. On the first occasion, the specialists only had access to the radiographs, while on the second occasion they had access to both radiographs and computed tomography images. Their concordance was evaluated by means of the kappa coefficient.Results:The interobserver reliability of the Schatzker classification on the first occasion was 0.36 and on the second occasion, 0.35. This was considered to present low reproducibility. In evaluating the intra-observer reproducibility of this classification, the mean kappa index was 0.42, which was classified as moderate. From evaluating the choice of surgical access, the inter-observer reliability was 0.55 on the first occasion and 0.50 on the second, which was considered to present moderate reproducibility. Evaluation on the implant chosen showed that the interobserver reliability was 0.01 on the first occasion and −0.06 on the second, which was considered to be poor and discordant. In evaluating the classification of the three columns, the inter-observer reproducibility was 0.47 (p< 0.0001), which was classified as moderate concordance.Conclusion:Use of computed tomography did not present any improvement in the inter-observer concordance, using the Schatzker classification, and did not produce any change in the preoperative planning. |
| first_indexed | 2024-03-08T07:10:20Z |
| format | Article |
| id | doaj.art-1f962aee761b4205bc5025b800d2d6dd |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:05:06Z |
| publishDate | 2014-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-1f962aee761b4205bc5025b800d2d6dd2024-04-03T10:37:14ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782014-12-0149659360110.1016/j.rboe.2014.10.010S0102-36162014000600593Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau,Clécio de Lima LopesCarlos Antônio da Rocha Cândido FilhoThiago Almeida de Lima e SilvaMarcelo Carvalho Krause GonçalvesRicardo Lyra de OliveiraPaulo Rogério Gomes de LimaObjectives:To evaluate the concordance among knee surgery specialists regarding the classification and surgical technique indicated in cases of tibial plateau fracture, using conventional radiographs and computed tomography.Methods:Forty-four patients with fractures of the tibial plateau shown on radiographic and tomographic images were selected. These were evaluated by specialists at two different times, with an interval of seven days. On the first occasion, the specialists only had access to the radiographs, while on the second occasion they had access to both radiographs and computed tomography images. Their concordance was evaluated by means of the kappa coefficient.Results:The interobserver reliability of the Schatzker classification on the first occasion was 0.36 and on the second occasion, 0.35. This was considered to present low reproducibility. In evaluating the intra-observer reproducibility of this classification, the mean kappa index was 0.42, which was classified as moderate. From evaluating the choice of surgical access, the inter-observer reliability was 0.55 on the first occasion and 0.50 on the second, which was considered to present moderate reproducibility. Evaluation on the implant chosen showed that the interobserver reliability was 0.01 on the first occasion and −0.06 on the second, which was considered to be poor and discordant. In evaluating the classification of the three columns, the inter-observer reproducibility was 0.47 (p< 0.0001), which was classified as moderate concordance.Conclusion:Use of computed tomography did not present any improvement in the inter-observer concordance, using the Schatzker classification, and did not produce any change in the preoperative planning.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600593&lng=en&tlng=enFraturas da tíbia/classificaçãoFraturas da tíbia/radiografiaTomografia computadorizadaProcedimentos cirúrgicos operatórios |
| spellingShingle | Clécio de Lima Lopes Carlos Antônio da Rocha Cândido Filho Thiago Almeida de Lima e Silva Marcelo Carvalho Krause Gonçalves Ricardo Lyra de Oliveira Paulo Rogério Gomes de Lima Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, Revista Brasileira de Ortopedia Fraturas da tíbia/classificação Fraturas da tíbia/radiografia Tomografia computadorizada Procedimentos cirúrgicos operatórios |
| title | Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, |
| title_full | Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, |
| title_fullStr | Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, |
| title_full_unstemmed | Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, |
| title_short | Importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau, |
| title_sort | importance of radiological studies by means of computed tomography for managing fractures of the tibial plateau |
| topic | Fraturas da tíbia/classificação Fraturas da tíbia/radiografia Tomografia computadorizada Procedimentos cirúrgicos operatórios |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000600593&lng=en&tlng=en |
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