Vol. 10, Issue 3 (2024)
A retrospective study to evaluate the effectiveness of radiographs versus computed tomography in determining fracture morphology in intertrochanteric fractures
Raman Singh, Dr. Anuj Parikh, Sanjeev Kumar Singh, Dr. Deepak Jain, Ameya Velankar and Gaurav Singh
Introduction: Femur Intertrochanteric fractures is a commonplace hip fractures seen in orthopaedic practice. The intertrochanteric fractures stability decides the most suitable treatment modality. Imaging is the primary investigation to determine fracture morphology and the degree of comminution. Radiographs and Computed tomography are the two viable options for classifying the fractures.
Materials and Methods: We conducted a retrospective study spanning from 1st of January 2022 to 31st of December 2023 with a sample size of 20. We recorded the responses of three subjects for radiographs and tomography of the 20 intertrochanteric fractures and analysed them for Interobserver and Intraobserver variability.
Results: There was narrower variability in responses with Computed Tomography than Radiography. Our study could not reach statistical significance when variability between the two modalities were compared for each subject.
Conclusion: Computed tomography should be included in the workup of Intertrochanteric fractures since studies have indicated to their usefulness in determining accurate fracture morphology. It is especially significant in the unstable fracture patterns. The degree to which Computed tomography is useful has still not been established definitively. This should prompt further research in future.
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