How to Evaluate the Quality of Fracture Reduction and Fixation of the Wrist and Ankle in Clinical Practice: a Delphi Consensus

Overview

Journal Arch Orthop Trauma Surg

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2010 Oct 23

PMID 20967547

Citations 4

Authors

M S Beerekamp

R Haverlag

D T Ubbink

J S Luitse

K J Ponsen

J C Goslings

Affiliations

Soon will be listed here.

Abstract

Method: A Delphi study was conducted to obtain consensus on the most important criteria for the radiological evaluation of the reduction and fixation of the wrist and ankle. The Delphi study consisted of a bipartite online questionnaire, focusing on the interpretation of radiographs and CT scans of the wrist and the ankle. Questions addressed imaging techniques, aspects of the anatomy and fracture reduction and fixation. Agreement was expressed as the percentage of respondents with similar answers. Consensus was defined as an agreement of at least 90%.

Results: In three Delphi rounds, respectively, 64, 74 and 62 specialists, consisting of radiologists, trauma and orthopaedic surgeons from the Netherlands responded. After three Delphi rounds, consensus was reached for three out of 14 (21%) imaging techniques proposed, 11 out of the 13 (85%) anatomical aspects and 13 of the 22 (59%) items for the fracture reduction and fixation. This Delphi consensus differs from existing scoring protocols in terms of the greater number of anatomical aspects and aspects of fracture fixation requiring evaluation and is more suitable in clinical practice due to a lower emphasis on measurements.

Citing Articles

Factors Associated With Adverse Radiographic Outcomes Following Operative Management of Ankle Fractures: A Single-Center Study.

Shirazi A, Alaradi H, Alanjawi H, Almeel A, Alam M Cureus. 2024; 16(6):e62507.

PMID: 39022467 PMC: 11252900. DOI: 10.7759/cureus.62507.

Priorities for Advancing Mental and Social Health Among People Presenting for Care of Musculoskeletal Symptoms : International Consortium for Mental and Social Health in Musculoskeletal Care.

Ring D J Clin Psychol Med Settings. 2022; 30(1):197-203.

PMID: 35318572 DOI: 10.1007/s10880-022-09865-w.

Efficacy of hook-type locking plate and partially threaded cancellous lag screw in the treatment of displaced medial malleolar fractures in elderly patients.

Cho B, Kim J, Choi S Arch Orthop Trauma Surg. 2021; 142(10):2585-2596.

PMID: 34089372 DOI: 10.1007/s00402-021-03945-6.

Fracture surgery of the extremities with the intra-operative use of 3D-RX: a randomized multicenter trial (EF3X-trial).

Beerekamp M, Ubbink D, Maas M, Luitse J, Kloen P, Blokhuis T BMC Musculoskelet Disord. 2011; 12:151.

PMID: 21733185 PMC: 3152540. DOI: 10.1186/1471-2474-12-151.

References

GARTLAND Jr J, WERLEY C . Evaluation of healed Colles' fractures. J Bone Joint Surg Am. 1951; 33-A(4):895-907. View

Cole R, Bindra R, Evanoff B, Gilula L, Yamaguchi K, Gelberman R . Radiographic evaluation of osseous displacement following intra-articular fractures of the distal radius: reliability of plain radiography versus computed tomography. J Hand Surg Am. 1997; 22(5):792-800. DOI: 10.1016/s0363-5023(97)80071-8. View

Jeong G, Kaplan F, Liporace F, Paksima N, Koval K . An evaluation of two scoring systems to predict instability in fractures of the distal radius. J Trauma. 2004; 57(5):1043-7. DOI: 10.1097/01.ta.0000105886.89776.82. View

Holey E, Feeley J, Dixon J, Whittaker V . An exploration of the use of simple statistics to measure consensus and stability in Delphi studies. BMC Med Res Methodol. 2007; 7:52. PMC: 2216026. DOI: 10.1186/1471-2288-7-52. View

Goldfarb C, Rudzki J, Catalano L, Hughes M, Borrelli Jr J . Fifteen-year outcome of displaced intra-articular fractures of the distal radius. J Hand Surg Am. 2006; 31(4):633-9. DOI: 10.1016/j.jhsa.2006.01.008. View

Lloyd J, Elsayed S, Hariharan K, Tanaka H . Revisiting the concept of talar shift in ankle fractures. Foot Ankle Int. 2006; 27(10):793-6. DOI: 10.1177/107110070602701006. View

Mann F, Wilson A, Gilula L . Radiographic evaluation of the wrist: what does the hand surgeon want to know?. Radiology. 1992; 184(1):15-24. DOI: 10.1148/radiology.184.1.1609073. View

Grose A, Gardner M, Hettrich C, Fishman F, Lorich D, Asprinio D . Open reduction and internal fixation of tibial pilon fractures using a lateral approach. J Orthop Trauma. 2007; 21(8):530-7. DOI: 10.1097/BOT.0b013e318145a227. View

Sarmiento A, Pratt G, Berry N, Sinclair W . Colles' fractures. Functional bracing in supination. J Bone Joint Surg Am. 1975; 57(3):311-7. View

10.

Langenhuijsen J, Heetveld M, Ultee J, Steller E, Butzelaar R . Results of ankle fractures with involvement of the posterior tibial margin. J Trauma. 2002; 53(1):55-60. DOI: 10.1097/00005373-200207000-00012. View

11.

Murphy M, Black N, Lamping D, McKEE C, Sanderson C, Askham J . Consensus development methods, and their use in clinical guideline development. Health Technol Assess. 1998; 2(3):i-iv, 1-88. View

12.

DeCoster T, Willis M, Marsh J, Williams T, Nepola J, Dirschl D . Rank order analysis of tibial plafond fractures: does injury or reduction predict outcome?. Foot Ankle Int. 1999; 20(1):44-9. DOI: 10.1177/107110079902000110. View

13.

Kreder H, Hanel D, McKee M, Jupiter J, McGillivary G, Swiontkowski M . X-ray film measurements for healed distal radius fractures. J Hand Surg Am. 1996; 21(1):31-9. DOI: 10.1016/S0363-5023(96)80151-1. View

14.

Knirk J, Jupiter J . Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986; 68(5):647-59. View

15.

Ovadia D, Beals R . Fractures of the tibial plafond. J Bone Joint Surg Am. 1986; 68(4):543-51. View

16.

Teeny S, Wiss D . Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res. 1993; (292):108-17. View

17.

Goldfarb C, Yin Y, Gilula L, Fisher A, Boyer M . Wrist fractures: what the clinician wants to know. Radiology. 2001; 219(1):11-28. DOI: 10.1148/radiology.219.1.r01ap1311. View

18.

Goslings J, Ponsen K, Luitse J, Jurkovich G . Trauma surgery in the era of nonoperative management: the Dutch model. J Trauma. 2006; 61(1):111-4. DOI: 10.1097/01.ta.0000222704.86560.ac. View

19.

van Eerten P, Lindeboom R, Oosterkamp A, Goslings J . An X-ray template assessment for distal radial fractures. Arch Orthop Trauma Surg. 2007; 128(2):217-21. PMC: 2225998. DOI: 10.1007/s00402-007-0391-y. View

20.

Huisstede B, Miedema H, Verhagen A, Koes B, Verhaar J . Multidisciplinary consensus on the terminology and classification of complaints of the arm, neck and/or shoulder. Occup Environ Med. 2006; 64(5):313-9. PMC: 2092547. DOI: 10.1136/oem.2005.023861. View