descriptionPublicationkeyboard_double_arrow_right Article 01 Dec 2018 English Publisher:Elsevier BVJournal:Journal of Orthopaedics, volume 15, pages 967-970 (issn: 0972-978X,

Authors: Torrens Cánovas, Carlos; Marí, Raquel; Cuenca, Marta; Ferrer, Tulia; Langohr, Klaus; Santana Pérez, Fernando;

doi: 10.1016/j.jor.2018.08.041

pmid: 30210203

pmc: PMC6134158

handle: 10230/41704 , 2117/177823

3D reconstruction does not improve agreement and results in an increase in surgical indications in proximal humeral fractures

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Abstract

The objective of this study is to analyze the effect of different imaging modalities in treatment decision making in proximal humeral fractures. After evaluation of 116 consecutive proximal humeral fractures, observers were asked to give treatment recommendation (conservative vs. surgery). If surgery was proposed, they were told to select surgery of choice. When 3D imaging was added, complexity of fractures significantly increased (p < 0.001), number of surgeries significantly increased (p < 0.000) and number of ORIF treatments significantly increased (p < 0.0004). Addition of 3D imaging of proximal humeral fractures significantly increases number of surgical decisions when compared to radiographs alone or together with CT.

Related Organizations

Universitat Politècnica de Catalunya
Spain
Universitat Pompeu Fabra
Spain
Universitat Polite`cnica de Catalunya
Spain
Institut Hospital del Mar d'Investigacions Mèdiques
Spain
University of Barcelona
Spain

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Keywords

Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària, Biomatemàtica, Classificació AMS::62 Statistics::62D05 Sampling theory, sample surveys, Ossos -- Cirurgia, Interobserver agreement, :Matemàtiques i estadística::Matemàtica aplicada a les ciències [Àrees temàtiques de la UPC], Classificació AMS::92 Biology and other natural sciences::92B Mathematical biology in general, :62 Statistics::62D05 Sampling theory, sample surveys [Classificació AMS], Proximal humeral fractures, sample surveys, Classificació AMS::62 Statistics::62D05 Sampling theory, Concordance, Sampling (Statistics), Biomathematics, :Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària [Àrees temàtiques de la UPC], :92 Biology and other natural sciences::92B Mathematical biology in general [Classificació AMS], Intraobserver agreement, Classification, Reproducibility, Surgeon decision-making, Imatgeria tridimensional en medicina, Àrees temàtiques de la UPC::Matemàtiques i estadística::Matemàtica aplicada a les ciències, Mostreig (Estadística)

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