Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs
Abstract Background The objective of this study is to evaluate the value of computed tomography (CT) post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs. Methods A total of 79 cases with closed Lisfranc injuries that were treated with conventional...
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Format: | Article |
Language: | English |
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BMC
2017-06-01
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Series: | Journal of Orthopaedic Surgery and Research |
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Online Access: | http://link.springer.com/article/10.1186/s13018-017-0589-9 |
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author | Haobo Li Yanxi Chen Minfei Qiang Kun Zhang Yuchen Jiang Yijie Zhang Xiaoyang Jia |
author_facet | Haobo Li Yanxi Chen Minfei Qiang Kun Zhang Yuchen Jiang Yijie Zhang Xiaoyang Jia |
author_sort | Haobo Li |
collection | DOAJ |
description | Abstract Background The objective of this study is to evaluate the value of computed tomography (CT) post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs. Methods A total of 79 cases with closed Lisfranc injuries that were treated with conventional open reduction and internal fixation from January 2010 to June 2016 were analyzed. Postoperative assessment was performed by two independent orthopedic surgeons with both plain radiographs and CT post-processing images. Inter- and intra-observer agreement were analyzed by kappa statistics while the differences between the two postoperative imaging assessments were assessed using the χ 2 test (McNemar’s test). Significance was assumed when p < 0.05. Results Inter- and intra-observer agreement of CT post-processing images was much higher than that of plain radiographs. Non-anatomic reduction was more easily identified in patients with injuries of Myerson classifications A, B1, B2, and C1 using CT post-processing images with overall groups (p < 0.05), and poor internal fixation was also more easily detected in patients with injuries of Myerson classifications A, B1, B2, and C2 using CT post-processing images with overall groups (p < 0.05). Conclusions CT post-processing images can be more reliable than plain radiographs in the postoperative assessment of reduction and implant placement for Lisfranc injuries. |
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format | Article |
id | doaj.art-28c6798717f244999af893b8c9c6cb6e |
institution | Directory Open Access Journal |
issn | 1749-799X |
language | English |
last_indexed | 2024-04-13T00:47:25Z |
publishDate | 2017-06-01 |
publisher | BMC |
record_format | Article |
series | Journal of Orthopaedic Surgery and Research |
spelling | doaj.art-28c6798717f244999af893b8c9c6cb6e2022-12-22T03:09:57ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-06-011211710.1186/s13018-017-0589-9Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographsHaobo Li0Yanxi Chen1Minfei Qiang2Kun Zhang3Yuchen Jiang4Yijie Zhang5Xiaoyang Jia6Department of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineDepartment of Orthopaedic Trauma, East Hospital, Tongji University School of MedicineAbstract Background The objective of this study is to evaluate the value of computed tomography (CT) post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs. Methods A total of 79 cases with closed Lisfranc injuries that were treated with conventional open reduction and internal fixation from January 2010 to June 2016 were analyzed. Postoperative assessment was performed by two independent orthopedic surgeons with both plain radiographs and CT post-processing images. Inter- and intra-observer agreement were analyzed by kappa statistics while the differences between the two postoperative imaging assessments were assessed using the χ 2 test (McNemar’s test). Significance was assumed when p < 0.05. Results Inter- and intra-observer agreement of CT post-processing images was much higher than that of plain radiographs. Non-anatomic reduction was more easily identified in patients with injuries of Myerson classifications A, B1, B2, and C1 using CT post-processing images with overall groups (p < 0.05), and poor internal fixation was also more easily detected in patients with injuries of Myerson classifications A, B1, B2, and C2 using CT post-processing images with overall groups (p < 0.05). Conclusions CT post-processing images can be more reliable than plain radiographs in the postoperative assessment of reduction and implant placement for Lisfranc injuries.http://link.springer.com/article/10.1186/s13018-017-0589-9Three-dimensionalComputed tomographyComputer-assistedLisfranc injuryPostoperative assessment |
spellingShingle | Haobo Li Yanxi Chen Minfei Qiang Kun Zhang Yuchen Jiang Yijie Zhang Xiaoyang Jia Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs Journal of Orthopaedic Surgery and Research Three-dimensional Computed tomography Computer-assisted Lisfranc injury Postoperative assessment |
title | Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs |
title_full | Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs |
title_fullStr | Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs |
title_full_unstemmed | Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs |
title_short | Evaluation of computed tomography post-processing images in postoperative assessment of Lisfranc injuries compared with plain radiographs |
title_sort | evaluation of computed tomography post processing images in postoperative assessment of lisfranc injuries compared with plain radiographs |
topic | Three-dimensional Computed tomography Computer-assisted Lisfranc injury Postoperative assessment |
url | http://link.springer.com/article/10.1186/s13018-017-0589-9 |
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