Key result
Evaluation of intertrochanteric femur fractures using X-ray and/or CT demonstrated excellent intra- and inter-observer consistency for fracture classification and implant preference (P<0.001).
Why the study?
Successful treatment of intertrochanteric fractures depends on appropriate implant selection guided by classification and stability, motivating an evaluation of inter- and intraobserver consistency using x-ray and/or CT.
Does the addition of Computed Tomography to X-ray alter fracture classification and implant preference in patients with intertrochanteric femur fractures?
Observational (n=80)
Blinded to patient identifiers and other observer's results
No
Does the addition of Computed Tomography to X-ray alter fracture classification and implant preference in patients with intertrochanteric femur fractures?
Effect estimate: ICC 0.865-0.961
p-value: p=<0.001
Preoperative CT scans alter fracture classification and implant preference compared to X-ray alone, particularly for fractures initially deemed stable, suggesting diagnostic benefit for surgical planning.
High reliability supports x-ray for most intertrochanteric classifications; leaves open whether selective CT improves implant decisions or outcomes.
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Kaya et al. (2022) conducted an observational in Intertrochanteric femur fractures (n=80). Computerized Tomography (CT) and X-ray vs. X-ray alone was evaluated on Inter-observer consistency (Intraclass Correlation Coefficient) for primary evaluations (ICC 0.865-0.961, p=<0.001). Evaluation of intertrochanteric femur fractures using X-ray and/or CT demonstrated excellent intra- and inter-observer consistency for fracture classification and implant preference (P<0.001).
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