Influence of training on dorsal tangential radiographic view to detect screw protrusion after anterior plating of the distal radius: a cadaveric study

被引:1
|
作者
Bergsma, Minke [1 ,2 ,3 ,4 ,5 ,6 ]
Obdeijn, Miryam C. [4 ,5 ,6 ]
Janssen, Stein J. [7 ]
Bain, Gregory, I [1 ,2 ,3 ]
Jaarsma, Ruurd L. [1 ,2 ,3 ]
Doornberg, Job N. [1 ,2 ,3 ,4 ,5 ,6 ]
机构
[1] Flinders Med Ctr, Dept Orthopaed Surg, Adelaide, SA, Australia
[2] Flinders Univ S Australia, Dept Orthopaed Trauma Surg, Adelaide, SA, Australia
[3] Flinders Univ S Australia, Biomech & Implants Res Grp, Adelaide, SA, Australia
[4] Univ Amsterdam, Med Ctr, Dept Orthopaed Surg, Amsterdam, Netherlands
[5] Univ Amsterdam, Med Ctr, Dept Plast Reconstruct & Hand Surg, Amsterdam, Netherlands
[6] Univ Amsterdam, Amsterdam, Netherlands
[7] Amphia Hosp, Dept Orthopaed Surg, Breda, Netherlands
关键词
Dorsal screw penetration; dorsal tangential view; distal radius fractures; volar plating; training; INTERNAL-FIXATION; PENETRATION; FRACTURES; RELIABILITY; AGREEMENT; ULTRASOUND; SYSTEM; IMPACT; TENDON; CORTEX;
D O I
10.1177/1753193419898060
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In this cadaveric study of anterior plating of the distal radius, we aimed to determine the interobserver agreement and diagnostic performance for detecting dorsally protruding screws using the dorsal tangential radiographic view before and after specific training. Without prior instruction, 13 observers interpreted the dorsal tangential view of cadaveric specimens, in which anterior radial plates were placed. After seeing a training video on the dorsal tangential view, they repeated the task. Though we found that accuracy and interobserver agreement was lower than described in some other clinical series, training led to statistically significant improvements of (1) the interobserver agreement on the decision to exchange screws, (2) the self-confidence of the surgeon in obtaining adequate views, and (3) the number of fluoroscopic images required to obtain these views. After training, the number of protruding screws missed was reduced by 36%, but 7% of dorsally protruding screws was still missed.
引用
收藏
页码:864 / 870
页数:7
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