Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200156 |
Resumo: | Abstract Objective To compare pre- and postoperative variation of radiographicmeasurements of the Böhler angle (BA) in fractures with two types of deviations: severe and moderate. Methods Pre- and postoperative BAs in 31 calcaneal fracture radiographs were retrospectively analyzed. A total of 4 patients were female (6.5%) and 26 were male (83.9%), with age ranging from 23 to 72 years old, and a mean age of 44.5 years old. Results The results show that the postoperative BA was significantly larger than the preoperative BA (p = 0.000). At the intraevaluator and overall assessments, the postoperative BA was, on average, 10.6° higher than the preoperative measure. The postoperative angle was, on average, 108% higher than the preoperative angle. In the global assessment, the agreement between evaluatorswas excellent, bothregarding the estimated point value (0.98) and the intraclass correlation (ICC) confidence interval (CI). Conclusion In the global analysis, the postoperative BAs were, on average, significantly higher than the preoperativemeasurements. The farther from the normal range (20° to 40°) the preoperative angle is, the greater the difference after the surgery. When the preoperative angle was normal, the postoperative angle was, on average, 1.28 times the preoperative measurement. If the preoperative BA was abnormal, the postoperative angle was, on average, 17.3 times the preoperativemeasurement. It was demonstrated that more severe fractures present better anatomic results when compared with moderate fractures. The present study also confirms a good interobserver correlation for the BA. |
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Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fracturescalcaneusbone fracturesintra-articular fracturesradiographyAbstract Objective To compare pre- and postoperative variation of radiographicmeasurements of the Böhler angle (BA) in fractures with two types of deviations: severe and moderate. Methods Pre- and postoperative BAs in 31 calcaneal fracture radiographs were retrospectively analyzed. A total of 4 patients were female (6.5%) and 26 were male (83.9%), with age ranging from 23 to 72 years old, and a mean age of 44.5 years old. Results The results show that the postoperative BA was significantly larger than the preoperative BA (p = 0.000). At the intraevaluator and overall assessments, the postoperative BA was, on average, 10.6° higher than the preoperative measure. The postoperative angle was, on average, 108% higher than the preoperative angle. In the global assessment, the agreement between evaluatorswas excellent, bothregarding the estimated point value (0.98) and the intraclass correlation (ICC) confidence interval (CI). Conclusion In the global analysis, the postoperative BAs were, on average, significantly higher than the preoperativemeasurements. The farther from the normal range (20° to 40°) the preoperative angle is, the greater the difference after the surgery. When the preoperative angle was normal, the postoperative angle was, on average, 1.28 times the preoperative measurement. If the preoperative BA was abnormal, the postoperative angle was, on average, 17.3 times the preoperativemeasurement. It was demonstrated that more severe fractures present better anatomic results when compared with moderate fractures. The present study also confirms a good interobserver correlation for the BA.Sociedade Brasileira de Ortopedia e Traumatologia2019-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200156Revista Brasileira de Ortopedia v.54 n.2 2019reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rbo.2017.12.005info:eu-repo/semantics/openAccessLabronici,Pedro JoséFaria,Guilherme Guerra Pinheiro dePedro,Bruno MirandaSerra,Marcos Donato Franco de AraújoPires,Robinson Esteves SantosTamontini,Jorge Luizeng2019-05-29T00:00:00Zoai:scielo:S0102-36162019000200156Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2019-05-29T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
title |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
spellingShingle |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures Labronici,Pedro José calcaneus bone fractures intra-articular fractures radiography |
title_short |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
title_full |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
title_fullStr |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
title_full_unstemmed |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
title_sort |
Böhler’s Angle-Comparison Between the pre- and Postoperative in Displaced Intra-Articular Calcaneal Fractures |
author |
Labronici,Pedro José |
author_facet |
Labronici,Pedro José Faria,Guilherme Guerra Pinheiro de Pedro,Bruno Miranda Serra,Marcos Donato Franco de Araújo Pires,Robinson Esteves Santos Tamontini,Jorge Luiz |
author_role |
author |
author2 |
Faria,Guilherme Guerra Pinheiro de Pedro,Bruno Miranda Serra,Marcos Donato Franco de Araújo Pires,Robinson Esteves Santos Tamontini,Jorge Luiz |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Labronici,Pedro José Faria,Guilherme Guerra Pinheiro de Pedro,Bruno Miranda Serra,Marcos Donato Franco de Araújo Pires,Robinson Esteves Santos Tamontini,Jorge Luiz |
dc.subject.por.fl_str_mv |
calcaneus bone fractures intra-articular fractures radiography |
topic |
calcaneus bone fractures intra-articular fractures radiography |
description |
Abstract Objective To compare pre- and postoperative variation of radiographicmeasurements of the Böhler angle (BA) in fractures with two types of deviations: severe and moderate. Methods Pre- and postoperative BAs in 31 calcaneal fracture radiographs were retrospectively analyzed. A total of 4 patients were female (6.5%) and 26 were male (83.9%), with age ranging from 23 to 72 years old, and a mean age of 44.5 years old. Results The results show that the postoperative BA was significantly larger than the preoperative BA (p = 0.000). At the intraevaluator and overall assessments, the postoperative BA was, on average, 10.6° higher than the preoperative measure. The postoperative angle was, on average, 108% higher than the preoperative angle. In the global assessment, the agreement between evaluatorswas excellent, bothregarding the estimated point value (0.98) and the intraclass correlation (ICC) confidence interval (CI). Conclusion In the global analysis, the postoperative BAs were, on average, significantly higher than the preoperativemeasurements. The farther from the normal range (20° to 40°) the preoperative angle is, the greater the difference after the surgery. When the preoperative angle was normal, the postoperative angle was, on average, 1.28 times the preoperative measurement. If the preoperative BA was abnormal, the postoperative angle was, on average, 17.3 times the preoperativemeasurement. It was demonstrated that more severe fractures present better anatomic results when compared with moderate fractures. The present study also confirms a good interobserver correlation for the BA. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200156 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200156 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rbo.2017.12.005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.54 n.2 2019 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361915637760 |