Book chapter
Measurement of Severity of Injury After Articular Fracture and Correlation with Post-Traumatic Arthritis Development
Post-Traumatic Arthritis, pp.305-315
Springer US
01/01/2015
DOI: 10.1007/978-1-4899-7606-2_24
Abstract
The severity of the initial injury to the articular surface and the supporting bone and surrounding soft tissue envelope is one of the most important factors in determining patient outcome after articular fractures. Injury severity strongly influences clinical decision-making during treatment and is an important predictor of patient outcome months and years after injury. Injury severity is often assessed on plain radiographs by casually labeling fractures as “high” or “low” energy, but energy is a mechanical entity that can be formally quantified. The CT-based methods described in this chapter make it possible to supplement these qualitative terms used to describe fracture severity with objectively measured quantities. CT-based fracture severity metrics have been shown to correlate with the opinions of experienced clinicians. For distal tibia fractures there appears to be a threshold for fracture severity, above which PTOA is much more likely to develop. Objectively quantifying acute fracture severity holds promise to improve clinical research by identifying who is at risk for PTOA development and set the stage for meaningful trials of new biologic agents to preserve articular surfaces. It will also improve patient care by guiding treatment and providing risk stratification and determining prognosis.
Details
- Title: Subtitle
- Measurement of Severity of Injury After Articular Fracture and Correlation with Post-Traumatic Arthritis Development
- Creators
- Donald D Anderson - Orthopedic Biomechanics Laboratory, Department of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, USAJ. Lawrence Marsh - Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, USA
- Resource Type
- Book chapter
- Publication Details
- Post-Traumatic Arthritis, pp.305-315
- DOI
- 10.1007/978-1-4899-7606-2_24
- Publisher
- Springer US; Boston, MA
- Language
- English
- Date published
- 01/01/2015
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Industrial and Systems Engineering
- Record Identifier
- 9984040249202771
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