Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures?
Objective: Successful treatment of intertrochanteric fractures depends on an appropriate implant and is decided according to fracture classification and stability. In the present study, the purpose was to investigate the interobserver and intraobserver consistency of x-ray and/or Computed Tomography...
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| Format: | Article |
| Language: | English |
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Sakarya University
2022-09-01
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| Series: | Sakarya Tıp Dergisi |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/2311202 |
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| author | Ömer Büyüktopçu Shikhalı Isgandarlı Hayati Kart Özgür Baysal Fevzi Sağlam Murat Kaya |
| author_facet | Ömer Büyüktopçu Shikhalı Isgandarlı Hayati Kart Özgür Baysal Fevzi Sağlam Murat Kaya |
| author_sort | Ömer Büyüktopçu |
| collection | DOAJ |
| description | Objective: Successful treatment of intertrochanteric fractures depends on an appropriate implant and is decided according to fracture classification and stability. In the present study, the purpose was to investigate the interobserver and intraobserver consistency of x-ray and/or Computed Tomography (CT) in fracture classification and implant preference for treatment in intertrochanteric fractures.
Materials and Methods: The patients who were diagnosed with 80 intertrochanteric fractures by two orthopedists with 5 or more years of trauma experience and who had pelvic CT scans for suspected accompanying fractures were evaluated in the study. AO/OTA classification and implant preference for treatment were based on x-ray and/or CT. Second evaluations were made two weeks later. Cohen’s Kappa was calculated for interobserver reliability in the first evaluation and intraobserver reliability in the first and second evaluations.
Results: Intra-observer ICC ranged between 0.861 and 0.973 for Observer-1 and between 0.893 and 0.993 for Observer-2 in all evaluations. Inter-observer ICC was within the range of 0.865-0.961 based on primary evaluations. These data represented excellent intra- and inter-observer consistency for both observers (P |
| first_indexed | 2024-03-08T12:44:07Z |
| format | Article |
| id | doaj.art-2eaf14209ae249f8b1335e6f0a51b0f5 |
| institution | Directory Open Access Journal |
| issn | 2146-409X |
| language | English |
| last_indexed | 2024-03-08T12:44:07Z |
| publishDate | 2022-09-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj.art-2eaf14209ae249f8b1335e6f0a51b0f52024-01-21T07:40:09ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2022-09-0112348248810.31832/smj.108823928Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures?Ömer Büyüktopçu0Shikhalı Isgandarlı1Hayati Kart2Özgür Baysal3Fevzi Sağlam4Murat Kaya5Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji KliniğiMarmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji KliniğiMarmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji KliniğiMarmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji KliniğiSAKARYA UNIVERSITY, SCHOOL OF MEDICINEMarmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji KliniğiObjective: Successful treatment of intertrochanteric fractures depends on an appropriate implant and is decided according to fracture classification and stability. In the present study, the purpose was to investigate the interobserver and intraobserver consistency of x-ray and/or Computed Tomography (CT) in fracture classification and implant preference for treatment in intertrochanteric fractures. Materials and Methods: The patients who were diagnosed with 80 intertrochanteric fractures by two orthopedists with 5 or more years of trauma experience and who had pelvic CT scans for suspected accompanying fractures were evaluated in the study. AO/OTA classification and implant preference for treatment were based on x-ray and/or CT. Second evaluations were made two weeks later. Cohen’s Kappa was calculated for interobserver reliability in the first evaluation and intraobserver reliability in the first and second evaluations. Results: Intra-observer ICC ranged between 0.861 and 0.973 for Observer-1 and between 0.893 and 0.993 for Observer-2 in all evaluations. Inter-observer ICC was within the range of 0.865-0.961 based on primary evaluations. These data represented excellent intra- and inter-observer consistency for both observers (Phttps://dergipark.org.tr/tr/download/article-file/2311202i̇ntertrokanterik kırıki̇mplant tercihigözlemciler-arası tutarlılıkoptimize cerrahi prosedürintertrochanteric fractureimplant preferenceinter-observer consistencyoptimize surgical procedures |
| spellingShingle | Ömer Büyüktopçu Shikhalı Isgandarlı Hayati Kart Özgür Baysal Fevzi Sağlam Murat Kaya Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? Sakarya Tıp Dergisi i̇ntertrokanterik kırık i̇mplant tercihi gözlemciler-arası tutarlılık optimize cerrahi prosedür intertrochanteric fracture implant preference inter-observer consistency optimize surgical procedures |
| title | Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? |
| title_full | Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? |
| title_fullStr | Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? |
| title_full_unstemmed | Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? |
| title_short | Does Computed Tomography Provide an Advantage over X-ray in the Treatment of Intertrochanteric Fractures? |
| title_sort | does computed tomography provide an advantage over x ray in the treatment of intertrochanteric fractures |
| topic | i̇ntertrokanterik kırık i̇mplant tercihi gözlemciler-arası tutarlılık optimize cerrahi prosedür intertrochanteric fracture implant preference inter-observer consistency optimize surgical procedures |
| url | https://dergipark.org.tr/tr/download/article-file/2311202 |
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