...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Accuracy and Reliability of Postoperative Radiographic Evaluation of First Metatarsal-Phalangeal Joint Arthrodesis
【24h】

Accuracy and Reliability of Postoperative Radiographic Evaluation of First Metatarsal-Phalangeal Joint Arthrodesis

机译：第一次跖骨 - 鳞型关节关节术后术射线显微评价的准确性和可靠性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The clinical value of routine postoperative radiographic evaluation after orthopedic procedures has recently been called into question. The objective of the present investigation was to evaluate the ability of foot and ankle surgeons to accurately and reliably assess postoperative radiographs after first metatarsal-phalangeal joint arthrodesis. Thirty sets of digital radiographs from 11 patients who had undergone first metatarsal-phalangeal joint arthrodesis were retrospectively evaluated by 5 podiatric physicians board-certified in foot surgery. The surgeons were asked to answer several questions, including whether the radiograph appeared to be >4 or <4 postoperative weeks; whether the radiograph appeared to be >8 or <8 postoperative weeks; their estimation of the postoperative week; and whether they would allow the patient to begin weightbearing based on the radiographic findings. With respect to whether the radiographs were >4 or <4 postoperative weeks, surgeons made accurate assessments 63.33% of the time (95 of 150; range 56.67% to 73.33%), with a kappa of 0.220. With respect to whether the radiographs were >8 or <8 postoperative weeks, surgeons made accurate assessments 60.0% of the time (90 of 150; range 53.33% to 70.0%), with a kappa of 0.203. With respect to the estimation of the postoperative week of the radiograph, surgeons accurately assessed the radiographs within a 4-week period 34.0% of the time (54 of 150; range 26.67% to 46.67%), with a kappa of 0.425. With respect to allowing the patient to bear weight according to the radiographic findings, the surgeons were in complete agreement 26.67% of the time (8 of 30), with a kappa of 0.251. These results provide evidence against the serial routine use of postoperative radiographs for the first metatarsal-phalangeal joint arthrodesis in the absence of a specific clinical indication. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：最近呼吁矫形程序后常规术后放射线评估的临床价值。目前调查的目的是评估脚踝外科医生的能力，在第一个跖骨 - 蝴蝶结显微术后准确和可靠地评估术后射线照片。来自11名患者的30套数字射线照片，经过第一个跖骨 - 蝴蝶结术关节关节术回顾性地评估了脚手术中的5个肥胖的医生委员会认证。要求外科医生回答几个问题，包括射线照片是否似乎> 4或<4术后周;射线照片是否似乎是> 8或<8个术后周;他们对术后周的估计;以及他们是否会允许患者根据放射线摄影结果开始重力。关于X射线照片是否> 4或<4术后周，外科医生准确评估了63.33％的时间（95个，共150％;范围为56.67％至73.33％），Kappa为0.220。关于X射线照片是否> 8或<8术后周，外科医生准确评估了60.0％的时间（90％，共150％;范围53.33％至70.0％），Kappa为0.203。关于射线照相术后周的估计，外科医生在4周的时间内准确评估了射线照相34.0％的时间（54的150个;范围为26.67％至46.67％），Kappa为0.425。关于允许患者根据射线照相调查结果承受重量，外科医生完全协议26.67％的时间（30分中），Kappa为0.251。这些结果提供了针对第一个跖骨 - 蝴蝶结显微镜的连续射线照片的连续常规用途的证据表明，在没有特定的临床指示的情况下。 （c）2017由美国脚和踝外科医院。版权所有。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号