Two-dimensional and three-dimensional computed tomography for the classification and characterisation of tibial plateau fractures

Doornberg, Job N.; Rademakers, Maarten V.; Bekerom, Michel PJ van den; Kerkhoffs, Gino M. M. J.; Ahn, Jaimo; Steller, E. Ph.; Kloen, Peter

doi:10.1016/j.injury.2011.03.025

Cited by 88 publications

(52 citation statements)

References 30 publications

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“…Our study yielded comparable interobserver (κ XR =0.51; κ CT =0.61) and intraobserver (κ XR = 0.58; κ CT =0.66) results to those of Brunner et al [10] (κ XR =0.418; κ CT =0.755). This was slightly better than the quoted mean κ CT of 0.61 from several other studies [8,11,12] but worse than findings of Brunner et al [10] and Hu et al [13] The clinical experience has been suggested to affect the interobserver reliability between observers with different level of experience; [10,14] however, our study findings contradicted with this, with no significant differences found among the observers despite differences in experience.…”

Section: Discussioncontrasting

confidence: 92%

Intraobserver and interobserver reliability assessment of tibial plateau fracture classification systems

Taşkesen

Demirkale

Okkaoğlu

et al. 2017

Eklem Hastalik Cerrahisi

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Section: Discussioncontrasting

confidence: 92%

Intraobserver and interobserver reliability assessment of tibial plateau fracture classification systems

Taşkesen

Demirkale

Okkaoğlu

et al. 2017

Eklem Hastalik Cerrahisi

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“…Especially in difficult anatomic regions it might be hard to differentiate between variations within the normal range and pathological findings even in MDCT images [5]. Regarding the presented case, radiological reports are frequently inconclusive in the differentiation between ossicles and avulsion fractures.…”

Section: Discussionmentioning

confidence: 80%

“…Regarding the presented case, radiological reports are frequently inconclusive in the differentiation between ossicles and avulsion fractures. This might lead to further, cost-intensive imaging and may delay immediate therapy [1,3,5].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, through their relation to tendons or ligaments, avulsion fractures are frequently considered as "complex fractures" and require conservative and -in some cases -surgical management [2][3][4]. Thus, the clear differentiation between ossicles and avulsion fractures, even in anatomically difficult regions, is an important aspect of the radiologist's report [5]. We present a case in which cinematic rendering of MDCT data was a helpful key in the differentiation between an ossicle and an avulsion fracture.…”

Section: Introductionmentioning

confidence: 99%

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Ossicle vs. avulsion fracture: Cinematic rendering of MDCT data as an additional diagnostic key

Hagleitner¹,

Fellner²

2017

Glob Imaging Insights

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“…Most research focuses on the influence of 3D-CT on fracture classification systems [1–9]. The results of these studies have varied, however there is a trend towards improved intra- and inter-observer reliability of fracture classification systems when three-dimensional reconstructions are used.…”

Section: Introductionmentioning

confidence: 99%

The effect of three-dimensional computed tomography reconstructions on preoperative planning of tibial plateau fractures: a case–control series

Dodd

Paolucci

Korley

2015

BMC Musculoskelet Disord

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BackgroundTibial plateau fractures are a common intra-articular injury for which computed tomography (CT) scans are routinely used for preoperative planning. Three-dimensional reconstructions of CT scans have been increasingly investigated in recent years, however their role has yet to be defined. We wish to investigate the role of three-dimensional computed tomography reconstructions (3D-CT) in the preoperative planning of tibial plateau fractures.MethodsTwelve cases of tibial plateau fractures including plain film radiographs and conventional CT scans were distributed to 21 observers (orthopaedic residents and consultants). The observers filled out a preoperative plan checklist created for this study. Three months later the same cases were distributed, in random order, this time including 3D-CT reconstructions. The same preoperative checklists were completed, and compared to the previous checklists.ResultsThe preoperative plan checklist was able to detect differences between cases and between observers. No significant differences were detected between the total plan scores when comparing conventional CT to 3D-CT. Sub-analysis of plan specifics (incisions, hardware, adjuncts) was also not significantly different. The level of training of the observer or the fracture complexity did not affect these results.ConclusionsNo significant changes were made to observer’s preoperative plans with the addition of 3D-CT. 3D-CT reconstructions come at a cost to the system, and therefore their usefulness should be investigated prior to widespread use. Our study demonstrates that the addition of 3D-CT reconstructions to the preoperative workup of tibial plateau fractures did not change management plans when compared to plans made using traditional CT-scans.

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Two-dimensional and three-dimensional computed tomography for the classification and characterisation of tibial plateau fractures

Cited by 88 publications

References 30 publications

Intraobserver and interobserver reliability assessment of tibial plateau fracture classification systems

Intraobserver and interobserver reliability assessment of tibial plateau fracture classification systems

Ossicle vs. avulsion fracture: Cinematic rendering of MDCT data as an additional diagnostic key

The effect of three-dimensional computed tomography reconstructions on preoperative planning of tibial plateau fractures: a case–control series

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