Comparison of plain radiography and CT in postoperative evaluation of ankle fractures

Chen, Y.; Zhang, Kexin; Qiang, Min; Li, H.; Dai, Hao

doi:10.1016/j.crad.2015.04.011

Cited by 10 publications

(13 citation statements)

References 26 publications

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“…Finally, assessment of reduction quality as well as that of nonunion or malunion was performed using radiographic interpretation and documented clinical findings. We acknowledge that computed tomography offers more sensitivity for detection of these outcomes; 28 however, we maintain that radiographic data in conjunction with clinical examination are both practical and clinically relevant for this purpose.…”

Section: Discussionmentioning

confidence: 95%

“…Although it is plausible that the CRPF technique could result in unacceptable reduction owing to incomplete fracture visualization or lack of fracture site débridement (ie, hematoma and periosteum), the findings of the present study do not support this theory. Future studies that use postoperative CT rather than radiographs may offer higher sensitivity for detection of articular step-off, 28 and highly powered studies may be necessary to detect small differences in this variable.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Fixation for Medial Malleolus Fractures

2017

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Introduction:Surgical treatment of medial malleolus (MM) fractures can be performed through open or percutaneous approaches, although comparisons between these two approaches have not been undertaken. In this study, we compared patients with MM fractures treated with closed reduction and percutaneous fixation (CRPF) with patients treated with traditional open reduction and internal fixation (ORIF).Methods:A group of 165 consecutive patients underwent surgical fixation of a closed MM fracture from 2011 to 2015 at a single institution. Thirty-one underwent CRPF and 134 underwent ORIF. Patient demographics, injury characteristics, treatment methods, and outcome variables were recorded through review of patient charts, radiographs, and surgical reports.Results:The rate of MM fracture comminution was higher in the ORIF group compared with the CRPF group (9.7% vs 27.6%; P = 0.04). All other patient and injury variables were similar between the two groups. There was no statistically significant difference observed between the CRPF and ORIF groups regarding outcomes, including nonunion, malunion, time to union, rate of hardware removal, and wound complications.Discussion:Both CRPF and ORIF resulted in acceptable radiographic outcomes and low complication rates for the treatment of MM fractures.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Comparison of Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Fixation for Medial Malleolus Fractures

2017

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“…In a study, preoperative CT was shown to significantly alter the surgical strategy in 24% of malleolus ankle fracture cases (6). In a study comparing the treatment of trimalleolar ankle fracture before and after CT, it was shown that the surgical planning, technique and approach of a surgeon frequently changed with additional information provided by CT, and that radiographs alone were insufficient to determine the characteristics of a fracture (5). In our study, the most common bone fractures were distal tibia, medial and lateral malleolus fractures.…”

Section: Discussionmentioning

confidence: 99%

“…CT images can be more easily interpreted than XR images, even if the anatomical structure has been destroyed due to trauma. However, it is recommended that CT imaging be performed in selected cases because of its high cost and exposure to high levels of radiation (4,5).…”

Section: Introductionmentioning

confidence: 99%

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Avcı¹,

Kozacı²,

Yüksel³

et al. 2019

Ann Med Res

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The aim of this study was to compare computed tomography (CT) and radiography (XR) images of patients presented to the emergency department with ankle trauma and undergone CT imaging, and to describe the fractures for which XR is insufficient and the characteristics of these fractures. Material and Methods: This retrospectively designed study included patients presented to the emergency department with ankle trauma between January 2016 and December 2017. Patients who had ankle trauma, who performed XR and CT imaging were included in the study. The XR and CT images were reinterpreted by a radiologist. Results: Three hundred and sixteen patients were enrolled in the study. Of the patients, 137 (43.4%) had fracture on XR and 168 (53.2%) had fracture on CT. The most common bone fractures were detected lateral malleolus and distal tibia fractures. The sensitivity and specificity of XR in detecting fracture compared to CT were 75% and 93%, respectively. Sixty-three (20%) of the patients had two simultaneous fractures. The sensitivity and specificity of XR in detecting two simultaneous fractures were 56% and 94%, respectively. Twelve (3.8%) of the patients had distal tibial, medial malleolus and lateral malleolus fractures (trimalleolar fracture). The sensitivity and specificity of XR in detecting trimalleolar fracture were 17% and 100%, respectively. Conclusion: XR has a low sensitivity in identifying ankle fractures. The sensitivity is much lower in cases of two simultaneous fractures and trimalleolar fractures. Therefore, CT imaging should be preferred in patients with complex ankle injuries.

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“…Nowadays, computed tomography (CT) scanning is used as a common imaging method, following XR imaging, to evaluate the bone trauma [3]. However, due to it having an expensive cost and a high radiation dose, CT scanning is recommended in selected patients only [8,9].…”

Section: Introductionmentioning

confidence: 99%

Comparison of X-Ray Imaging and Computed Tomography Scan in the Evaluation of Knee Trauma

Avcı

Kozacı

2019

Medicina

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Background and objectives: The aim of the study was to compare the accuracy of X-ray (XR) imaging according to computed tomography (CT) scanning in the diagnosis of knee bone fractures, and in the determination of fracture characteristics, and to identify CT scan indications in patients with knee trauma. Materials and methods: The patients who presented to the emergency department (ED) due to knee trauma between January 2017 and December 2018 and who underwent XR imaging and CT scans were included in the study. XR images were reinterpreted by an emergency physician. The official reports, which had been interpreted by a radiologist in the hospital automation system for CT images, were considered valid. Results: Five hundred and forty-eight patients were included in the study. Of the patients, 200 (36.5%) had fractures in XR imaging and 208 (38.0%) had fractures in CT scans. Compared to CT scanning, XR imaging was found to have 89% sensitivity, 95% specificity, 92% positive predictive value, and 92% negative predictive value in identifying the fracture. The sensitivity of XR imaging in identifying growth plate fracture, angulation, stepping off, and extension of the fracture into the joint space was determined as 78% and less. According to the kappa value, there was determined a perfect concordance between the XR imaging and CT scans in angulation, stepping off, and extension of the fracture into the joint space. This concordance was moderate in growth plate fractures. Conclusions: XR imaging has a low sensitivity in identifying knee fractures. There is a moderate concordance between XR imaging and CT scanning in identifying growth plate fractures. Therefore, CT scanning should be performed in patients whose fracture type and fracture characteristics are not able to be determined exactly with XR imaging in knee injury.

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Comparison of plain radiography and CT in postoperative evaluation of ankle fractures

Cited by 10 publications

References 26 publications

Comparison of Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Fixation for Medial Malleolus Fractures

Comparison of Open Reduction and Internal Fixation Versus Closed Reduction and Percutaneous Fixation for Medial Malleolus Fractures

Comparison of radiography and computed tomography in emergency department evaluation of ankle trauma

Comparison of X-Ray Imaging and Computed Tomography Scan in the Evaluation of Knee Trauma

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