Evaluation of Judet view radiographs accuracy in classification of acetabular fractures compared with three-dimensional computerized tomographic scan: a retrospective study

Tazeabadi, Sepideh Abdi; Noroozi, Shima Ghafourian; Salehzadeh, Meysam; Bahardoust, Mansour; Farahini, Hossein; Hajializade, Mikaiel; Yeganeh, Ali

doi:10.1186/s12891-020-03441-9

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…There are many radiographic methods for evaluating pelvic and lumbar spine ( 22 ). An anteroposterior (AP) and a lateral spinopelvic radiograph were taken for all participants.…”

Section: Methodsmentioning

confidence: 99%

Spinopelvic Parameters as Risk Factors of Nonspecific Low Back Pain: A Case-Control Study

Mirzashahi

Hajializade

Kordkandi

et al. 2023

MJIRI

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Background The effect of spinopelvic alignment on low back pain (LBP) incidence has been studied in many investigations. However, the interrelation between spinopelvic parameters and LBP is poorly understood. In particular, it is unknown whether particular patterns of spinopelvic parameters render nonspecific LBP. In this study, we aimed to evaluate the role of spinopelvic parameters as risk factors of nonspecific LBP. Methods In this case-control study, spinopelvic parameters, including lumbar lordosis (LL), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI), were compared between 148 patients with nonspecific LBP and 148 healthy controls. Demographic characteristics of the patients, such as age, gender, occupation, smoking, diabetes mellitus, and body mass index (BMI), were recorded as confounders. Spinopelvic parameters were assessed using radiographic findings in 2 groups. The analysis was done once as univariate (Kolmogorov-Smirnov test) and once as multivariate (multivariate logistic regression) analysis. Results Univariate analysis showed that female gender, higher BMI, smoking, and blue-collar jobs were associated with a higher risk of nonspecific LBP. LL, SS, and PI, but not PT, were all greater in LPB patients in the univariate analysis regarding the spinopelvic parameters. Multivariate analysis showed female gender (odds ratio adjusted (ORAdj) = 4.26 [95% CI, 2.11-9.58]; P = 0.001) and LL (ORAdj = 1.58; [95% CI, 1.18-3.22]; P = 0.026) were predictable risk factors for Nonspecific LBP. Conclusion Spinopelvic parameters, particularly LL, could be considered as risk factors of nonspecific LBP so that a more significant LL might indicate a greater risk of LBP. However, the role of other parameters in this association could not be neglected.

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“…There are many radiographic methods for evaluating pelvic and lumbar spine ( 22 ). An anteroposterior (AP) and a lateral spinopelvic radiograph were taken for all participants.…”

Section: Methodsmentioning

confidence: 99%

Spinopelvic Parameters as Risk Factors of Nonspecific Low Back Pain: A Case-Control Study

Mirzashahi

Hajializade

Kordkandi

et al. 2023

MJIRI

Self Cite

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“…If closed reduction was not successful, the patient was urgently sent to the operating room for an open reduction. Plain radiographs and CT scan were obtained following a reduction in all patients [14]. For patients with Pipkin type I and II, a congruent joint conservative treatment is implicated.…”

Section: Surgical Approachmentioning

confidence: 99%

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

Yeganeh

Farahini

Hajializade

et al. 2020

J. Res. Orthop. Sci.

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Background: There is no concrete information about many aspects of femoral fracture, including its best management. We hypothesized that reporting the outcomes of patients managed with the same therapeutic algorithm would help the selection of best management strategies. Objectives: In this study, we report the outcomes and complications of femoral head fracture in patients treated according to our therapeutic algorithm. Methods: In a retrospective review of a prospectively collected orthopedic database, 41 patients with femoral head fractures were evaluated. Fractures were classified by the Pipkin classification system. The clinical outcome was assessed with the Harris Hip Score (HHS). In brief, our therapeutic algorithm included conservative treatment for the congruous joint of Pipkin type I and II, total hip arthroplasty for unfixable fractures of Pipkin type III, and IV, and fixation via three approaches otherwise (Smith-Peterson, Kocher, or surgical dislocation). Results: Of 41 cases, 34 cases (82.9%) had uncomplicated outcomes. The number of associated injuries was significantly more in patients with complicated outcomes (P=0.049). Avascular necrosis was the most common complication (n=5, 12.2%). Their Mean±SD HHS was 85.1±109. Accordingly, HHS scoring had poor, fair, good and excellent results in 4 (9.8%), 6 (14.6%), 13 (31.7%), and 17 (41.5%) patients, respectively. The mean HHS score was significantly lower in patients with complicated outcomes (P=0.007). The mean HHS score was not associated with types of fracture (P=0.071). Conclusion: The outcome of femoral head treatment was good to excellent in the majority of patients. However, patients who underwent total hip arthroplasty or had associated injuries are at higher risk of an inferior outcome.

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“…Currently, three-dimensional computed tomography (3D-CT) has been widely used to identify fracture morphology and spatial relationship among bone blocks [ 9 , 10 ]. While 3D-CT may improve the understanding of fracture morphology, it fails to offer complete insights into the actual configuration of fractures [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

et al. 2022

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Background Posterior wall acetabular fractures remain one of the most difficult fracture injuries to treat. Accurate assessment of fracture characteristics and appropriate preoperative surgical strategies are essential for excellent reduction. This paper evaluates the feasibility and effectiveness of a one-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures. Methods 52 cases of posterior wall acetabular fractures treated surgically were selected in our department between January 2015 and December 2020 for retrospective analysis. 52 cases were classified into group A (25 patients) and group B (27 patients) according to whether computerized virtual planning procedures were performed preoperatively. In group A, virtual surgical simulation was conducted using a one-stop computerized planning system preoperatively. In group B, traditional surgery was employed. Reduction quality, surgical time, blood loss, hip function, complications, and instrumentation time were compared between the two groups. Results The actual surgery for all patients in group A was essentially the same as the virtual surgery before the operation. Compared to group B, patients in group A had markedly shorter surgical time (−43 min), shorter instrumentation time (−20 min), and less intraoperative blood loss (−130 ml). However, no significant statistical difference was observed in reduction quality and hip function. The complication rate was slightly lower in group A (4/25) than in group B (7/27), without a significant difference. Conclusion The one-stop computerized virtual planning system is a highly effective, user-friendly and educational tool for allowing the cost-efficient surgical simulation of posterior wall acetabular fractures and providing a more individualized therapeutic schedule. The one-stop computerized planning system is feasible to treat posterior wall acetabular fractures, which is an effective method than the conventional treatment of posterior wall acetabular fractures. Trial registration: retrospective registration.

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Evaluation of Judet view radiographs accuracy in classification of acetabular fractures compared with three-dimensional computerized tomographic scan: a retrospective study

Cited by 4 publications

References 21 publications

Spinopelvic Parameters as Risk Factors of Nonspecific Low Back Pain: A Case-Control Study

Spinopelvic Parameters as Risk Factors of Nonspecific Low Back Pain: A Case-Control Study

The Outcome of Treatment of Femural Head Fracture: A Single-Center Retrospective Study

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

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