Perception of quality of intraoperative fluoroscopy and the influence on postoperative management: an international survey

Purpose Intraoperative precise visualization of fractures and assessment of the quality of reduction is essential in orthopedic trauma surgery. Fluoroscopic skills will lead to an increased detection rate of minimal abnormalities needing revision intraoperatively. The definition of fluoroscopic skil...

Full description

Saved in:
Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2021-08, Vol.47 (4), p.1073-1079
Main Authors: Oehme, Florian, Schütze, Konrad, Link, Björn Christian, Frima, Herman, Schepers, Tim, Rhemrev, Steven, Rickman, Mark, Babst, Reto, Beeres, Frank Joseph Paulus
Format: Article
Language:English
Subjects:
Ankle
Critical Care Medicine
Emergency Medicine
Fractures
Intensive
Medicine
Medicine & Public Health
Original Article
Orthopedics
Postoperative period
Sports Medicine
Surgery
Surgical Orthopedics
Trauma
Traumatic Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Intraoperative precise visualization of fractures and assessment of the quality of reduction is essential in orthopedic trauma surgery. Fluoroscopic skills will lead to an increased detection rate of minimal abnormalities needing revision intraoperatively. The definition of fluoroscopic skills and the interpretation of acceptable “minimal abnormalities” remains somehow unclear. The purpose of this study was to analyze the subjective quality assessment of intraoperative radiographs (IR) and whether they are influenced by cultural and demographic factors. Furthermore, we aimed to answer the question whether the indication for revision surgery is international comparable or rather influenceable by cultural aspects. Methods Intraoperative radiographs of 30 patients operated for an ankle or radius fracture were selected for an international survey. In total, 22 patients were randomly selected from an already existing database and eligible for inclusion if reduction was accomplished during initial operation without planed revision. Eight patients of this group had undergone an unplanned revision surgery (26.6%). Fifteen orthopedic trauma surgeons from three different countries answered this survey. All raters were senior consultants. Results The quality of reduction was rated as good in both the AP (7.95 of 10) and lateral (7.84 of 10) views. The inter-observer reliability was substantially weaker in Country B (kappa of 0.23) compared to Countries A ( p value 
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-019-01286-z