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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 6/2011

Open Access 01-06-2011 | Orthopaedic Surgery

How to evaluate the quality of fracture reduction and fixation of the wrist and ankle in clinical practice: a Delphi consensus

Authors: M. S. Beerekamp, R. Haverlag, D. T. Ubbink, J. S. Luitse, K. J. Ponsen, J. C. Goslings

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2011

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Abstract

Method

A Delphi study was conducted to obtain consensus on the most important criteria for the radiological evaluation of the reduction and fixation of the wrist and ankle. The Delphi study consisted of a bipartite online questionnaire, focusing on the interpretation of radiographs and CT scans of the wrist and the ankle. Questions addressed imaging techniques, aspects of the anatomy and fracture reduction and fixation. Agreement was expressed as the percentage of respondents with similar answers. Consensus was defined as an agreement of at least 90%.

Results

In three Delphi rounds, respectively, 64, 74 and 62 specialists, consisting of radiologists, trauma and orthopaedic surgeons from the Netherlands responded. After three Delphi rounds, consensus was reached for three out of 14 (21%) imaging techniques proposed, 11 out of the 13 (85%) anatomical aspects and 13 of the 22 (59%) items for the fracture reduction and fixation. This Delphi consensus differs from existing scoring protocols in terms of the greater number of anatomical aspects and aspects of fracture fixation requiring evaluation and is more suitable in clinical practice due to a lower emphasis on measurements.
Appendix
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Metadata
Title
How to evaluate the quality of fracture reduction and fixation of the wrist and ankle in clinical practice: a Delphi consensus
Authors
M. S. Beerekamp
R. Haverlag
D. T. Ubbink
J. S. Luitse
K. J. Ponsen
J. C. Goslings
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 6/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-010-1198-9

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