التفاصيل البيبلوغرافية
| العنوان: |
Surgical Implant Generation Network Implant Follow-up: Assessment of Squat and Smile and Fracture Healing |
| المؤلفون: |
Alves, Kristin M., Lerner, Ariel, Silva, Genevieve S., Katz, Jeffrey N. |
| المصدر: |
Journal of Orthopaedic Trauma ; volume 34, issue 4, page 174-179 ; ISSN 0890-5339 |
| بيانات النشر: |
Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: |
2020 |
| الوصف: |
Objectives: To evaluate the reliability, sensitivity, and specificity of the Squat and Smile (S&S) test, a clinical photographic follow-up, in determination of fracture healing and to assess the extent of continued fracture healing beyond 1-year postoperation. Design: Retrospective review of the Surgical Implant Generation Network (SIGN) database. Setting: The S&S test is utilized in low-resource settings where the SIGN intramedullary nail is used due to unavailability of intraoperative fluoroscopy. Patients/Participants: One hundred fifty patients undergoing fracture fixation utilizing SIGN intramedullary nails with data available at least 1 year (9–16 months) after surgery. Intervention: None. Main Outcome Measures: We extracted clinical data and calculated scores for the S&S photographs and radiographs at the 1-year (9–16 month postoperative) follow-up and last follow-up available beyond that. We analyzed the sensitivity of S&S scoring, using Radiographic Union Scale for Tibia fracture scores as the gold standard for fracture union. Results: Of the 126 patients analyzed, 21% were found to have incomplete healing at 1 year, whereas 17% of the 64 patients with further follow-up past 1 year had incomplete healing. We found that both S&S and radiographic fracture healing scores had good interrater reliability (k = 0.73–0.78 for S&S and 0.94 for radiographs). The S&S test had poor sensitivity (0.11) and specificity (0.85) in determining fracture healing at the 1-year follow-up. Conclusions: The S&S scoring method was reliable but neither sensitive nor specific for determining fracture healing at 1 year. Fractures deemed incompletely healed by radiographic evaluation at 1 year after SIGN implant may still have the potential to heal over time. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1097/bot.0000000000001671 |
| DOI: |
10.1097/BOT.0000000000001671 |
| الإتاحة: |
https://doi.org/10.1097/bot.0000000000001671Test |
| رقم الانضمام: |
edsbas.774A46C |
| قاعدة البيانات: |
BASE |
