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Prkić, Ante, Claessen, Femke, P. Somford, Matthijs, The, Bertram, P.J. van den Bekerom, Michel, Eygendaal, Denise. (1398). How Well do Orthopedic Surgeons Recognize Different Models of Total Elbow Arthroplasties on Plain Radiographs with the Use of a Diagnostic Flowchart?. , 7(5), 407-415. doi: 10.22038/abjs.2018.30601.1791
Ante Prkić; Femke Claessen; Matthijs P. Somford; Bertram The; Michel P.J. van den Bekerom; Denise Eygendaal. "How Well do Orthopedic Surgeons Recognize Different Models of Total Elbow Arthroplasties on Plain Radiographs with the Use of a Diagnostic Flowchart?". , 7, 5, 1398, 407-415. doi: 10.22038/abjs.2018.30601.1791
Prkić, Ante, Claessen, Femke, P. Somford, Matthijs, The, Bertram, P.J. van den Bekerom, Michel, Eygendaal, Denise. (1398). 'How Well do Orthopedic Surgeons Recognize Different Models of Total Elbow Arthroplasties on Plain Radiographs with the Use of a Diagnostic Flowchart?', , 7(5), pp. 407-415. doi: 10.22038/abjs.2018.30601.1791
Prkić, Ante, Claessen, Femke, P. Somford, Matthijs, The, Bertram, P.J. van den Bekerom, Michel, Eygendaal, Denise. How Well do Orthopedic Surgeons Recognize Different Models of Total Elbow Arthroplasties on Plain Radiographs with the Use of a Diagnostic Flowchart?. , 1398; 7(5): 407-415. doi: 10.22038/abjs.2018.30601.1791

How Well do Orthopedic Surgeons Recognize Different Models of Total Elbow Arthroplasties on Plain Radiographs with the Use of a Diagnostic Flowchart?

The Archives of Bone and Joint Surgery
مقاله 3، دوره 7، شماره 5، آذر 2019، صفحه 407-415    اصل مقاله (3.68 M)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2018.30601.1791
نویسندگان
Ante Prkić* 1؛ Femke Claessen2؛ Matthijs P. Somford3؛ Bertram The1؛ Michel P.J. van den Bekerom4؛ Denise Eygendaal5
1Department of Orthopedic Surgery, Amhpia Hospital, Molengracht 21, 4818CK Breda, the Netherlands
2Department of Orthopedic Surgery, AMC, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands
3Department of Orthopedic Surgery, Rijnstate Hospital, Wagnerlaan 55, 6815 AD Arnhem, the Netherlands
4Department of Orthopedic and Trauma Surgery, OLVG, Oosterpark 9, 1091 AC Amsterdam, the Netherlands
5Department of Orthopedic Surgery, Amhpia Hospital, Molengracht 21, 4818CK Breda, the Netherlands Department of Orthopedic Surgery, AMC, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands
چکیده
Background: Recognition of total elbow arthroplasties (TEAs) on plain radiographs is difficult due to a multitude of
different types and models. Especially if surgery reports and documentation are not available, lost or when the primary
surgery was performed in another hospital the prosthesis type may be undeterminable. Therefore we investigated
in this platform study if a flowchart aids in recognition of thirteen different total elbow arthroplasty models on plain
radiographs.
Methods: An online questionnaire on the Shoulder and Elbow Platform was developed. Plain radiographs of thirteen
TEA models were shown with and without the help of an especially developed flowchart describing distinguishing
features.
Results: Ten orthopedic surgeons specialized in upper extremity surgery completed the study. Recognition rates of the
thirteen total elbow arthroplasty models ranged between 20 and 100 percent without the flowchart. Using the flowchart
recognition varied between 40 and 90 percent. The recognition rates with the flowchart were not significantly higher.
Inter-observer reliability did not increase on a significant level.
Conclusion: Correct recognition of total elbow arthroplasty models with plain radiographs remains imperfect with our
developed flowchart. The flowchart increased correct recognition rates and inter-observer reliability.
Level of evidence: II
کلیدواژه‌ها
Arthroplasty؛ Decision Trees؛ Elbow؛ Observer variation؛ Radiography؛ Recognition (Psychology)؛ Replacement
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