Accuracy of radiographic measurement techniques for the Taylor spatial frame mounting parameters. 2021

Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany. jangessmann@me.com.

OBJECTIVE The correction accuracy of the Taylor Spatial Frame (TSF) fixator depends considerably on the precise determination of the mounting parameters (MP). Incorrect parameters result in secondary deformities that require subsequent corrections. Different techniques have been described to improve the precision of MP measurement, although exact calculation is reportedly impossible radiologically. The aim of this study was to investigate the accuracy of intraoperative and postoperative radiographic measurement methods compared to direct MP measurement from TSF bone mounting. METHODS A tibial Sawbone® model was established with different origins and reference ring positions. First, reference MPs for each origin were measured directly on the frame and bone using a calibrated, digital vernier calliper. In total 150 MPs measured with three different radiographic measurement techniques were compared to the reference MPs: digital radiographic measurements were performed using soft-copy PACS images without (method A) and with (method B) calibration and calibrated image intensifier images (method C). RESULTS MPs measured from a non-calibrated X-ray image (method A) showed the highest variance compared to the reference MPs. A greater distance between the origin and the reference ring corresponded to less accurate MP measurements with method A. However, the MPs measured from calibrated X-ray images (method B) and calibrated image intensifier images (method C) were intercomparable (p = 0.226) and showed only minor differences compared to the reference values but significant differences to method A (p < 0,001). CONCLUSIONS The results demonstrate that MPs can be accurately measured with radiographic techniques when using calibration markers and a software calibration tool, thus minimizing the source of error and improving the quality of correction.

UI MeSH Term Description Entries
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D011856 Radiographic Image Enhancement Improvement in the quality of an x-ray image by use of an intensifying screen, tube, or filter and by optimum exposure techniques. Digital processing methods are often employed. Digital Radiography,Image Enhancement, Radiographic,Radiography, Digital,Enhancement, Radiographic Image,Enhancements, Radiographic Image,Image Enhancements, Radiographic,Radiographic Image Enhancements
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013977 Tibia The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally. Tibias
D016267 External Fixators External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved. Fixation Devices, External,Device, External Fixation,Devices, External Fixation,External Fixation Device,External Fixation Devices,External Fixator,Fixation Device, External,Fixator, External,Fixators, External

Related Publications

Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
April 2010, Journal of orthopaedic trauma,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
January 2014, Acta orthopaedica et traumatologica turcica,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
July 2011, Journal of orthopaedic trauma,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
April 2011, Annals of the Royal College of Surgeons of England,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
February 2022, BMC musculoskeletal disorders,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
August 2009, Journal of orthopaedic trauma,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
December 2020, Injury,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
October 2007, Annals of the Royal College of Surgeons of England,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
January 2017, Orthopedic research and reviews,
Jan Gessmann, and Sven Frieler, and Matthias Königshausen, and Thomas A Schildhauer, and Yannik Hanusrichter, and Dominik Seybold, and Hinnerk Baecker
April 2015, Journal of medical engineering & technology,
Copied contents to your clipboard!