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Abstract
We have examined the applicability of peroperative image documentation, in promoting
early mobilization after osteosynthesis and saving the standard X-ray examination.
One hundred and twenty-three patients with proximal femoral fractures were included
in the investigation. Hard-copy reprints were recorded from peroperative fluoroscopy
images by Fuji Film Thermal Imaging System FTI 200. These reprints were compared with
the standard X-rays to assess the quality of the osteosynthesis and possible restriction
in mobilization. The specificity of finding an unstable osteosynthesis was 0.40, whereas
the sensitivity of finding a stable osteosynthesis was 0.96. In all, four unstable
osteosyntheses were overlooked on the hard copy reprints. The specificity of finding
patients in need of restricted mobilization was 0.44 and the sensitivity of finding
patients allowed free mobilization was 0.93. Eight patients needing restricted mobilization
were overlooked on the reprints. Hard-copy images do not safely reveal unstable osteosynthesis
and cannot replace the standard X-rays taken postoperatively.
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References
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Article info
Publication history
Accepted:
January 16,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
