Sistema de mediciones tomográficas en luxofracturas de tobillo. Estudio de corte transversal
dc.contributor.advisor | Herrera Arbelaez, Juan Manuel | |
dc.contributor.author | Galeano Garces, Daniela | |
dc.contributor.author | Piñeros Sanz de Santamaria, Santiago | |
dc.contributor.orcid | Galeano Garces, Daniela [https://orcid.org/0000-0003-0954-6352] | |
dc.contributor.orcid | Piñeros Sanz de Santamaria, Santiago [https://orcid.org/0000-0002-4334-3375] | |
dc.date.accessioned | 2024-07-31T19:22:29Z | |
dc.date.available | 2024-07-31T19:22:29Z | |
dc.date.issued | 2024-07 | |
dc.description.abstract | Actualmente, el estándar de oro para el diagnóstico de las fracturas de tobillo son las radiografías. La tomografía computarizada (TC) proporciona una mejor comprensión de la morfología de las fracturas de tobillo en tres planos ortogonales diferentes. Sin embargo, casi no se han descrito medidas objetivas para estas lesiones. El objetivo del estudio es establecer un sistema de medición reproducible basado en el análisis de TC normales y patológicas de tobillos. se realizó un estudio observacional transversal ciego utilizando una muestra no probabilística y técnica de muestreo conveniente. El estudio se realizó en tres etapas diferentes: normalización, revisión de medidas y comparación de fracturas vs normalización en TC de fracturas de tobillo. Los resultados obtenidos se agruparon por patrón de fractura clasificado según las clasificaciones de Danis-Weber y Lauge-Hansen en 6 grupos. El análisis estadístico se realizó utilizando análisis de varianza de dos vías (ANOVA). El grado de concordancia intraobservador intergrupo se determinó utilizando el coeficiente kappa de Fleiss. | |
dc.description.abstractenglish | Nowadays, the gold standard for the diagnosis in ankle fractures are the x-rays. Computed tomography (CT) imaging provides a better understanding of an ankle fracture morphology in three different orthogonal planes. However, almost no objective measurements had been described for these injuries. Aim of the study is to establish a reproducible measurement system based on the analysis of normal and pathological ankle CT scans. A blind, observational cross-sectional study was conducted using a non-probabilistic sample and convenience sampling technique. The study was conducted in three different stages: normalization, review of measurements and Comparison of fractures vs normalized on ankle fractures CT´s. The results obtained were grouped by fracture pattern classified according to Danis-Weber and Lauge-Hansen classifications into 6 groups. Statistical analysis was conducted using two-way analysis of variance (ANOVA). The degree of inter-observer intragroup concordance was determined using Fleiss' Kappa coefficient. | |
dc.description.degreelevel | Especialización | spa |
dc.description.degreename | Especialista en Ortopedia y Traumatología | spa |
dc.format.mimetype | application/pdf | |
dc.identifier.instname | instname:Universidad El Bosque | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad El Bosque | spa |
dc.identifier.repourl | repourl:https://repositorio.unbosque.edu.co | |
dc.identifier.uri | https://hdl.handle.net/20.500.12495/12775 | |
dc.language.iso | es | |
dc.publisher.faculty | Facultad de Medicina | spa |
dc.publisher.grantor | Universidad El Bosque | spa |
dc.publisher.program | Especialización en Ortopedia y Traumatología | spa |
dc.relation.references | Elsoe R, Ostgaard SE, Larsen P. Population-based epidemiology of 9767 ankle fractures. Foot Ankle Surg. 2018 Feb;24(1):34–9. https://doi.org/10.1177/1938640020921571 | |
dc.relation.references | Bäcker HC, Vosseller JT, Bonel H, Cullmann-Bastian J, Krause F, Attinger MC. Weightbearing Radiography and MRI Findings in Ankle Fractures. Foot Ankle Spec. 2021 Dec 1;14(6):489–95. https://doi.org/10.1177/1938640020921571 | |
dc.relation.references | Scheer RC, Newman JM, Zhou JJ, Oommen AJ, Naziri Q, Shah NV, et al. Ankle Fracture Epidemiology in the United States: Patient-Related Trends and Mechanisms of Injury. J Foot Ankle Surg. 2020 May;59(3):479–83. https://doi.org/10.1053/j.jfas.2019.09.016 | |
dc.relation.references | Krähenbühl N, Weinberg MW, Davidson NP, Mills MK, Hintermann B, Saltzman CL, et al. Imaging in syndesmotic injury: a systematic literature review. Skeletal Radiol. 2018 May 1;47(5):631–48. https://doi.org/10.1007/s00256-017-2823-2 | |
dc.relation.references | Phillips WA, Schwartz HS, Keller CS, Woodward HR, Rudd WS, Spiegel PG, et al. A prospective, randomized study of the management of severe ankle fractures. J Bone Joint Surg Am. 1985 Jan;67(1):67–78. | |
dc.relation.references | Lauge N. Fractures of the ankle: Analytic Historic Survey as the Basis of New Experimental, Roentgenologic and Clinical Investigations. Arch Surg. 1948 Mar 1;56(3):259. | |
dc.relation.references | Michelson J, Solocoff D, Waldman B, Kendell K, Ahn U. Ankle Fractures: The Lauge-Hansen Classification Revisited. Clin Orthop. 1998 Jan 1;345:198–205. | |
dc.relation.references | Shariff SS, Nathwani DK. Lauge-Hansen classification—A literature review. Injury. 2006 Sep;37(9):888–90. https://doi.org/10.1016/j.injury.2006.05.013 | |
dc.relation.references | Espinoza-Azula SC, Reina-Valdivieso EA, Mendoza B, Toledo-Infanson V, Ramirez C, Herrera-Arbelaez JM. Evaluación Objetiva de las Radiografías de Tobillo como Patrón de Oro en el Diagnóstico y Tratamiento de las Fracturas Webber B. Experimento autocontrolado multicéntrico. Rev Colomb Ortop Traumatol. 2020 Sep 2;34(3):212–22. https://doi.org/10.1016/j.rccot.2020.07.002 | |
dc.relation.references | Alluri RK, Hill JR, Donohoe S, Fleming M, Tan E, Marecek G. Radiographic Detection of Marginal Impaction in Supination-Adduction Ankle Fractures. Foot Ankle Int. 2017 Sep;38(9):1005–10. https://doi.org/10.1177/1071100717709565 | |
dc.relation.references | Gibson PD, Bercik MJ, Ippolito JA, Didesch J, Hwang JS, Koury KL, et al. The Role of Computed Tomography in Surgical Planning for Trimalleolar Fracture. A Survey of OTA Members. J Orthop Trauma. 2017 Apr;31(4): e116–20. DOI: 10.1097/BOT.0000000000000763. | |
dc.relation.references | Haraguchi N, Haruyama H, Toga H, Kato F. Pathoanatomy of posterior malleolar fractures of the ankle. J Bone Joint Surg Am. 2006 May;88(5):1085–92. DOI: 10.2106/JBJS.E.00856. | |
dc.relation.references | Leung KH, Fang CXS, Lau TW, Li Leung FK. Preoperative Radiography versus Computed Tomography for Surgical Planning for Ankle Fractures. J Orthop Surg. 2016 Aug;24(2):158–62. https://doi.org/10.1177/1602400207 | |
dc.relation.references | Kumar A, Mishra P, Tandon A, Arora R, Chadha M. Effect of CT on Management Plan in Malleolar Ankle Fractures. Foot Ankle Int. 2018 Jan;39(1):59–66. https://doi.org/10.1177/1071100717732746 | |
dc.relation.references | Loizou CL, Sudlow A, Collins R, Loveday D, Smith G. Radiological assessment of ankle syndesmotic reduction. The Foot. 2017 Aug;32:39–43. https://doi.org/10.1016/j.foot.2017.05.002 | |
dc.relation.references | Saltzman CL, Salamon ML, Blanchard GM, Huff T, Hayes A, Buckwalter JA, et al. Epidemiology of Ankle Arthritis. Iowa Orthop J. 2005;25:44–6. | |
dc.relation.references | Bartoníček J, Rammelt S, Tuček M. Posterior Malleolar Fractures. Foot Ankle Clin. 2017 Mar;22(1):125–45. https://doi.org/10.1016/j.fcl.2016.09.009 | |
dc.relation.references | Herrera-Pérez M, Valderrabano V, Godoy-Santos AL, De César Netto C, González-Martín D, Tejero S. Ankle osteoarthritis: comprehensive review and treatment algorithm proposal. EFORT Open Rev. 2022 Jul 1;7(7):448–59. https://doi.org/10.1530/EOR-21-0117 | |
dc.relation.references | Sung KH, Kwon SS, Yun YH, Park MS, Lee KM, Nam M, et al. Short-Term Outcomes and Influencing Factors After Ankle Fracture Surgery. J Foot Ankle Surg. 2018 Nov;57(6):1096–100. https://doi.org/10.1053/j.jfas.2018.03.045 | |
dc.relation.references | Toth MJ, Yoon RS, Liporace FA, Koval KJ. What’s new in ankle fractures. Injury. 2017 Oct;48(10):2035–41. https://doi.org/10.1016/j.injury.2017.08.016 | |
dc.relation.references | Ebraheim NA, Lu J, Yang H, Mekhail AO, Yeasting RA. Radiographic and CT Evaluation of Tibiofibular Syndesmotic Diastasis: A Cadaver Study. Foot Ankle Int. 1997 Nov;18(11):693–8. https://doi.org/10.1177/107110079701801103 | |
dc.relation.references | Szymański T, Zdanowicz U. Comparison of routine computed tomography and plain X-ray imaging for malleolar fractures—How much do we miss? Foot Ankle Surg. 2022 Feb;28(2):263–8. https://doi.org/10.1016/j.fas.2021.03.025 | |
dc.relation.references | Chen Y, Zhang K, Qiang M, Li H, Dai H. Comparison of plain radiography and CT in postoperative evaluation of ankle fractures. Clin Radiol. 2015 Aug;70(8):e74–82. https://doi.org/10.1016/j.crad.2015.04.011. | |
dc.relation.references | Nenopoulos A, Beslikas T, Gigis I, Sayegh F, Christoforidis I, Hatzokos I. The role of CT in diagnosis and treatment of distal tibial fractures with intra-articular involvement in children. Injury. 2015 Nov;46(11):2177–80. https://doi.org/10.1016/j.injury.2015.07.017 | |
dc.relation.references | Paley D, Pfeil J. Principles of deformity correction around the knee. Orthopade. 2000 Jan;29(1):18–38. | |
dc.relation.references | Lamm BM, Stasko PA, Gesheff MG, Bhave A. Normal Foot and Ankle Radiographic Angles, Measurements, and Reference Points. J Foot Ankle Surg. 2016 Sep;55(5):991–8. https://doi.org/10.1053/j.jfas.2016.05.005 | |
dc.relation.references | Warner SJ, Fabricant PD, Garner MR, Schottel PC, Helfet DL, Lorich DG. The Measurement and Clinical Importance of Syndesmotic Reduction After Operative Fixation of Rotational Ankle Fractures: J Bone Jt Surg-Am Vol. 2015 Dec;97(23):1935–44. DOI: 10.2106/JBJS.O.00016. | |
dc.relation.references | Dikos GD, Heisler J, Choplin RH, Weber TG. Normal Tibiofibular Relationships at the Syndesmosis on Axial CT Imaging. J Orthop Trauma. 2012 Jul;26(7):433–8. DOI: 10.1097/BOT.0b013e3182535f30. | |
dc.relation.references | Elgafy H, Semaan HB, Blessinger B, Wassef A, Ebraheim NA. Computed tomography of normal distal tibiofibular syndesmosis. Skeletal Radiol. 2010 Jun;39(6):559–64. https://doi.org/10.1007/s00256-009-0809-4 | |
dc.relation.references | Prior CP, Widnall JC, Rehman AK, Weller DM, Wood EV. A simplified, validated protocol for measuring fibular reduction on ankle CT. Foot Ankle Surg. 2017 Mar;23(1):53–6. https://doi.org/10.1016/j.fas.2016.02.005 | |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | |
dc.rights.accessrights | http://purl.org/coar/access_right/c_14cb | |
dc.rights.local | Acceso cerrado | spa |
dc.subject | Fracturas de tobillo | |
dc.subject | Tomografía computarizada por Rayos X | |
dc.subject | Reproducibilidad de los Resultados | |
dc.subject.keywords | Ankle fracture | |
dc.subject.keywords | Computed tomography | |
dc.subject.keywords | Reproducibility of results | |
dc.subject.nlm | WE 168 | |
dc.title | Sistema de mediciones tomográficas en luxofracturas de tobillo. Estudio de corte transversal | |
dc.title.translated | Tomographic measurement system in ankle fractures. Cross-sectional study | |
dc.type.coar | https://purl.org/coar/resource_type/c_7a1f | |
dc.type.coarversion | https://purl.org/coar/version/c_ab4af688f83e57aa | |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
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