Influence of three-dimensional computed tomography reconstruction on preoperative evaluation for fracture classification of intraarticular fractures
- VernacularTitle:三维CT重建对关节内骨折分型术前评价的影响
- Author:
Yanling HU
;
Guoxian PEI
;
Xu LI
- Publication Type:Journal Article
- Keywords:
tibial plateau fracture;
acetabular fracture;
three-dimensional computed tomography;
two-dimensional computed tomography;
reliability
- From:
Orthopedic Journal of China
2006;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To assess the influence of three-dimensional computed tomography (3D CT) reconstruction on preoperative fracture classification of intraarticular fractures by comparing 3D CT and 2D CT in preoperative fracture classification of tibial plateau fractures and acetabular fractures.[Method]A retrospective study was performed to evaluate 28 tibial plateau fractures and 19 acetabular fractures.Four attending traumatic orthopaedic surgeons used 3D CT and 2D CT respectively to evaluate fractures and rendered fracture classification.Test of agreement was performed to evaluate interobserver and intraobserver agreement about fracture classification.[Result]With the use of 3D CT images,interobserver and intraobserver reliability for fracture classification increased to perfect agreement.[Conclusion]3D CT could improve the reliability of preoperative fracture classification for tibial plateau fractures and acetabular fractures.3D CT is helpful and worthwhile for preoperative evaluation for fracture classification of intraarticular fractures.