Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union
Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 185 - 191 Metin Dili: İngilizce DOI: 10.5606/ehc.2021.78465 İndeks Tarihi: 05-06-2021
Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union
Öz: Objectives: This study aims to evaluate the reliability of the radiographic union scale in tibial (RUST) fractures and modified RUST (mRUST) fractures in pediatric forearm fractures treated with elastic stable intramedullary nail (ESIN) and to investigate the effect of the experience of surgeon, thresholds for union, and delayed union decisions.Patients and methods: In this retrospective study, radiographic images of 20 patients (10 males, 10 females; mean age 8.6±4.3; range, 4 to 11 years) with forearm fractures treated using ESIN between January 2013 and December 2018 were scored by 20 observers based on the RUST and mRUST scores. The observers scored the radiographs at immediate postoperative period, and at 4-, 8-, and 12-week follow-up. Intra- and interobserver agreement for each cortex, RUST, and mRUST were evaluated using intraclass correlation coefficient (ICC). The Fleiss’ kappa (k) coefficient was used in the agreement between evaluators regarding union decision. Receiver operating curves were created to determine the thresholds for radiographic union and delayed union.Results: Intra- and interobserver reliability of the mRUST score (ICC: 0.84 and 0.79) were slightly higher than that of the RUST score (ICC: 0.80 and 0.72). Pediatric orthopedic and trauma surgeons had slightly higher agreement than the residents and general orthopedists for the total mRUST and RUST scores of the eight-week radiographs. Mean RUST and mRUST scores at the union for all fractures were 10.2±3.4 and 13.0±2.1, respectively. Kappa value for union was moderate (0.74). The total mRUST score had a higher predictive value for union than the total RUST score (area under the curve: 0.986 vs. 0.889). A mRUST score of ≥12 and RUST score of ≥9 were considered as the predictors of union. In addition, a mRUST score of ≤7 and RUST score of <9 were considered as the predictors of delayed union.Conclusion: A moderate agreement for both RUST and mRUST scores was found. However, the agreement for mRUST was found to be slightly higher. Healing and union of forearm fractures treated with ESIN can be reliably assessed using RUST and mRUST.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kızkapan T, Misir A, oguzkaya s, Özçamdallı M, uzun e, Sayer G (2021). Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. , 185 - 191. 10.5606/ehc.2021.78465 |
| Chicago | Kızkapan Turan bilge,Misir Abdulhamit,oguzkaya sinan,Özçamdallı Mustafa,uzun erdal,Sayer Gokhan Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. (2021): 185 - 191. 10.5606/ehc.2021.78465 |
| MLA | Kızkapan Turan bilge,Misir Abdulhamit,oguzkaya sinan,Özçamdallı Mustafa,uzun erdal,Sayer Gokhan Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. , 2021, ss.185 - 191. 10.5606/ehc.2021.78465 |
| AMA | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. . 2021; 185 - 191. 10.5606/ehc.2021.78465 |
| Vancouver | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. . 2021; 185 - 191. 10.5606/ehc.2021.78465 |
| IEEE | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G "Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union." , ss.185 - 191, 2021. 10.5606/ehc.2021.78465 |
| ISNAD | Kızkapan, Turan bilge vd. "Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union". (2021), 185-191. https://doi.org/10.5606/ehc.2021.78465 |
| APA | Kızkapan T, Misir A, oguzkaya s, Özçamdallı M, uzun e, Sayer G (2021). Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. Joint diseases and related surgery, 32(1), 185 - 191. 10.5606/ehc.2021.78465 |
| Chicago | Kızkapan Turan bilge,Misir Abdulhamit,oguzkaya sinan,Özçamdallı Mustafa,uzun erdal,Sayer Gokhan Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. Joint diseases and related surgery 32, no.1 (2021): 185 - 191. 10.5606/ehc.2021.78465 |
| MLA | Kızkapan Turan bilge,Misir Abdulhamit,oguzkaya sinan,Özçamdallı Mustafa,uzun erdal,Sayer Gokhan Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. Joint diseases and related surgery, vol.32, no.1, 2021, ss.185 - 191. 10.5606/ehc.2021.78465 |
| AMA | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. Joint diseases and related surgery. 2021; 32(1): 185 - 191. 10.5606/ehc.2021.78465 |
| Vancouver | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union. Joint diseases and related surgery. 2021; 32(1): 185 - 191. 10.5606/ehc.2021.78465 |
| IEEE | Kızkapan T,Misir A,oguzkaya s,Özçamdallı M,uzun e,Sayer G "Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union." Joint diseases and related surgery, 32, ss.185 - 191, 2021. 10.5606/ehc.2021.78465 |
| ISNAD | Kızkapan, Turan bilge vd. "Reliability of radiographic union scale in tibial fractures and modified radiographic union scale in tibial fractures scores in the evaluation of pediatric forearm fracture union". Joint diseases and related surgery 32/1 (2021), 185-191. https://doi.org/10.5606/ehc.2021.78465 |
