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

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Prkic Ante; Claessen Femke; Somford Matthijs P.; The Bertram; Van Den Bekerom Michel P.J.; Eygendaal Denise

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Journal Paper

Paper Information

Journal: Archives of Bone and Joint Surgery Year:2019 | Volume:7 | Issue:5 Page(s): 407-415

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Information Journal Paper

Title

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

Author(s)

Keywords

Arthroplasty

Decision Trees

Elbow

Observer variation

Radiography

Recognition (Psychology)

Replacement

Abstract

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.

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References

The Use of Eponyms for Surgical Approaches and Fractures in Elbow Surgery: Accuracy and Reliability Pre-and Post-Training (SHORT COMMUNICATION)

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APA: Copy

Prkic, Ante, Claessen, Femke, Somford, Matthijs P., The, Bertram, Van Den Bekerom, Michel P.J., & Eygendaal, Denise. (2019). 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, 7(5), 407-415. SID. https://sid.ir/paper/747986/en

Vancouver: Copy

Prkic Ante, Claessen Femke, Somford Matthijs P., The Bertram, Van Den Bekerom Michel P.J., Eygendaal Denise. 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[Internet]. 2019;7(5):407-415. Available from: https://sid.ir/paper/747986/en

IEEE: Copy

Ante Prkic, Femke Claessen, Matthijs P. Somford, Bertram The, Michel P.J. Van Den Bekerom, and Denise Eygendaal, “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, vol. 7, no. 5, pp. 407–415, 2019, [Online]. Available: https://sid.ir/paper/747986/en

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