Assessing Postoperative Reduction After Acetabular Fracture Surgery: A Standardized Digital Computed Tomography-Based Method

Journal of Orthopaedic Trauma
Diederik O VerbeekDavid L Helfet

Abstract

Quality of reduction after acetabular fracture surgery is an important predictor of clinical outcome. Computed tomography (CT) is likely superior to plain pelvic radiography for assessment of postoperative reduction, but interobserver reliability may be limited in the absence of a widely adopted technique. We describe a standardized digital CT-based method for measuring residual (gap and step) displacement on CT after acetabular fracture surgery. In a selection of patients, we determined the interobserver reliability for measuring displacement and grading the quality of reduction on postoperative pelvic radiography and CT, with and without the use of this novel technique.

References

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Jul 3, 2004·Clinical Orthopaedics and Related Research·Louis W CatalanoSteven Z Glickel
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Sep 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Moritz TannastJoel M Matta
Sep 19, 2014·Journal of Orthopaedic Trauma·Matthew R GarnerDean G Lorich
Jul 2, 2015·Journal of Orthopaedic Trauma·Michael T Archdeacon, Steven K Dailey
Dec 4, 2015·The Journal of Bone and Joint Surgery. American Volume·Stephen J WarnerDean G Lorich
May 21, 2016·Journal of Orthopaedic Trauma·Andrew DoddKelly A Lefaivre
Aug 19, 2016·The Journal of Bone and Joint Surgery. American Volume·John Clarke-JenssenJan Erik Madsen
Oct 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Diederik O VerbeekDavid L Helfet
Jun 6, 2018·The Journal of Bone and Joint Surgery. American Volume·Diederik O VerbeekDavid L Helfet

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Citations

Aug 21, 2020·Journal of Orthopaedic Trauma·Stephen GibbsGeoffrey S Marecek
Jan 29, 2019·Journal of Orthopaedic Trauma·Walid A ElnahalTimothy J S Chesser
Aug 10, 2020·Clinical Orthopaedics and Related Research·Anne M L MeestersFrank F A IJpma
Jun 6, 2018·The Journal of Bone and Joint Surgery. American Volume·Diederik O VerbeekDavid L Helfet

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