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The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures
This study aimed to evaluate the intra- and interobserver agreement for both fracture classification according to Schatzker and treatment plan of tibial plateau fractures using plain radiographs alone and with computed tomography (CT) scans. The study was carried out prospectively to assess the impa...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139878/ https://www.ncbi.nlm.nih.gov/pubmed/21394519 http://dx.doi.org/10.1007/s10140-010-0932-5 |
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author | te Stroet, Martijn A. J. Holla, Micha Biert, Jan van Kampen, Albert |
author_facet | te Stroet, Martijn A. J. Holla, Micha Biert, Jan van Kampen, Albert |
author_sort | te Stroet, Martijn A. J. |
collection | PubMed |
description | This study aimed to evaluate the intra- and interobserver agreement for both fracture classification according to Schatzker and treatment plan of tibial plateau fractures using plain radiographs alone and with computed tomography (CT) scans. The study was carried out prospectively to assess the impact of an advanced radiographic study on the agreement of treatment plan and fracture classification of tibial plateau fractures. Eight experienced observers (six surgeons and two radiologists) classified 15 tibial plateau fractures with plain radiographs and CT scans and set up a treatment plan. Agreement was measured using kappa coefficients. Using plain radiographs alone, the mean interobserver kappa coefficient for classification was 0.47, which decreased to 0.46 after addition of CT scans. Using plain films alone for formulating a treatment plan, the mean interobserver kappa coefficient was 0.40, which decreased to 0.30 after addition of CT scans. The mean intraobserver kappa coefficient for fracture classification using plain radiographs was 0.60, which decreased to 0.57 with addition of CT scans. The mean intraobserver kappa coefficient for treatment plan based on plain radiographs alone was 0.53, which decreased to 0.45 after addition of CT scans. In contrast with other recent publications, there is no increase in inter- and intra-agreement of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures. Routine CT scanning of the knee for tibial plateau fractures is not supported by this study. |
format | Online Article Text |
id | pubmed-3139878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-31398782011-09-01 The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures te Stroet, Martijn A. J. Holla, Micha Biert, Jan van Kampen, Albert Emerg Radiol Original Article This study aimed to evaluate the intra- and interobserver agreement for both fracture classification according to Schatzker and treatment plan of tibial plateau fractures using plain radiographs alone and with computed tomography (CT) scans. The study was carried out prospectively to assess the impact of an advanced radiographic study on the agreement of treatment plan and fracture classification of tibial plateau fractures. Eight experienced observers (six surgeons and two radiologists) classified 15 tibial plateau fractures with plain radiographs and CT scans and set up a treatment plan. Agreement was measured using kappa coefficients. Using plain radiographs alone, the mean interobserver kappa coefficient for classification was 0.47, which decreased to 0.46 after addition of CT scans. Using plain films alone for formulating a treatment plan, the mean interobserver kappa coefficient was 0.40, which decreased to 0.30 after addition of CT scans. The mean intraobserver kappa coefficient for fracture classification using plain radiographs was 0.60, which decreased to 0.57 with addition of CT scans. The mean intraobserver kappa coefficient for treatment plan based on plain radiographs alone was 0.53, which decreased to 0.45 after addition of CT scans. In contrast with other recent publications, there is no increase in inter- and intra-agreement of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures. Routine CT scanning of the knee for tibial plateau fractures is not supported by this study. Springer-Verlag 2011-03-11 2011 /pmc/articles/PMC3139878/ /pubmed/21394519 http://dx.doi.org/10.1007/s10140-010-0932-5 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Article te Stroet, Martijn A. J. Holla, Micha Biert, Jan van Kampen, Albert The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title | The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title_full | The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title_fullStr | The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title_full_unstemmed | The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title_short | The value of a CT scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
title_sort | value of a ct scan compared to plain radiographs for the classification and treatment plan in tibial plateau fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139878/ https://www.ncbi.nlm.nih.gov/pubmed/21394519 http://dx.doi.org/10.1007/s10140-010-0932-5 |
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