Richards B Stephens, Wilkes David, Dempsey Molly, Nurenberg Pamela
Department of Orthopaedics, Texas Scottish Rite Hospital for Children, Dallas, Texas, USA.
J Pediatr Orthop B. 2015 Mar;24(2):118-22. doi: 10.1097/BPB.0000000000000141.
The aim of this study was to determine whether an established radiographic union scoring system for tibial fracture healing (RUST) is reliable when used in neurofibromatosis (NF1) patients with congenital pseudarthrosis of the tibia (CPT) treated by intramedullary fixation. Four individuals reviewed 36 sets of radiographs from 12 NF1 patients with CPT (preoperative, and 6 months and 1 year postoperative). Intraobserver reliability (κ-value 0.89) and interobserver reliability (κ-value 0.76) were high. The modified RUST scoring system is a useful tool when faced with the challenge of postoperative radiographic evaluation of the tibia in NF1 patients with CPT.
本研究的目的是确定一种既定的用于评估胫骨骨折愈合的放射学愈合评分系统（RUST），在用于接受髓内固定治疗的患有先天性胫骨假关节（CPT）的神经纤维瘤病（NF1）患者时是否可靠。四名研究人员对12例患有CPT的NF1患者的36组X光片进行了评估（术前、术后6个月和术后1年）。观察者内信度（κ值为0.89）和观察者间信度（κ值为0.76）都很高。当面临对患有CPT的NF1患者胫骨进行术后放射学评估的挑战时，改良的RUST评分系统是一种有用的工具。
