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骨科创伤提供者调查:MRI 优于 CT 扫描评估和术前规划胫骨平台骨折?

Survey of Orthopaedic Trauma Providers: Is MRI Superior to CT Scan for Evaluating and Preoperative Planning for Tibial Plateau Fractures?

机构信息

Medical student at the University of Missouri School of Medicine, Columbia, Missouri.

Alabama Orthopaedic Clinic, Mobile, Alabama.

出版信息

Mo Med. 2022 May-Jun;119(3):261-265.

PMID:36035573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9324694/
Abstract

A computerized tomography (CT) scan is the current advanced imaging standard of care for evaluation and preoperative planning for tibial plateau fractures, but magnetic resonance imaging (MRI) is emerging as a better method to identify soft tissue injuries. This study compares MRI and CT for fracture classification, associated soft tissue injuries, and preoperative planning for tibial plateau fractures. MRI offers lack of radiation and enhanced soft tissue evaluation, and as a result improved preoperative planning. MRI was favored among survey respondents for preoperative planning, Schatzker classification, and surgical approach planning.

摘要

计算机断层扫描(CT)是目前评估和术前规划胫骨平台骨折的先进影像学标准,但磁共振成像(MRI)作为一种更好的方法来识别软组织损伤正在兴起。本研究比较了 MRI 和 CT 对胫骨平台骨折的骨折分类、相关软组织损伤和术前规划的作用。MRI 具有无辐射和增强软组织评估的优势,从而可以改善术前规划。在术前规划、Schatzker 分类和手术入路规划方面,MRI 受到调查受访者的青睐。

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本文引用的文献

1
Reliability and repeatability of tibial plateau fracture assessment with an injury mechanism-based concept.基于损伤机制概念的胫骨平台骨折评估的可靠性和可重复性。
Bone Joint Res. 2019 Sep 3;8(8):357-366. doi: 10.1302/2046-3758.88.BJR-2018-0331.R1. eCollection 2019 Aug.
2
Three-dimensional computed tomography reconstruction improves the reliability of tibial pilon fracture classification and preoperative surgical planning.三维计算机断层扫描重建提高了胫骨 Pilon 骨折分类和术前手术规划的可靠性。
Arch Orthop Trauma Surg. 2020 Feb;140(2):187-195. doi: 10.1007/s00402-019-03259-8. Epub 2019 Sep 16.
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Preoperative computed tomography scanning for abdominal neuroblastomas is superior to magnetic resonance imaging for safe surgical planning.术前腹部神经母细胞瘤计算机断层扫描优于磁共振成像,有利于安全手术规划。
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Impact of Computed Tomography on Operative Planning for Ankle Fractures Involving the Posterior Malleolus.计算机断层扫描对涉及后踝的踝关节骨折手术规划的影响。
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Soft tissue injury of the knee after tibial plateau fractures.胫骨平台骨折后膝关节的软组织损伤
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Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment.胫骨平台骨折的Schatzker分类:CT和磁共振成像的应用改善了评估。
Radiographics. 2009 Mar-Apr;29(2):585-97. doi: 10.1148/rg.292085078.
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Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury?
Skeletal Radiol. 2007 Feb;36(2):145-51. doi: 10.1007/s00256-006-0216-z. Epub 2006 Nov 30.
9
The incidence of soft tissue injury in operative tibial plateau fractures: a magnetic resonance imaging analysis of 103 patients.胫骨平台骨折手术中软组织损伤的发生率:103例患者的磁共振成像分析
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Arthroscopically assisted osteosynthesis for tibial plateau fractures.关节镜辅助下胫骨平台骨折的骨固定术
J Trauma. 2003 Feb;54(2):356-63. doi: 10.1097/01.TA.0000020397.74034.65.