Do anatomical contoured plates address scapula body, neck and glenoid fractures? A multi-observer consensus study

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dc.contributor.authorDe Wet, Japieen_ZA
dc.contributor.authorDey, Roopamen_ZA
dc.contributor.authorVrettos, Basilen_ZA
dc.contributor.authorDu Plessis, Jean-Pierreen_ZA
dc.contributor.authorAnley, Cameronen_ZA
dc.contributor.authorRachuene, Pududu A.en_ZA
dc.contributor.authorHaworth, Leanne C.en_ZA
dc.contributor.authorYimam, Habtamu M.en_ZA
dc.contributor.authorSivarasu, Sudeshen_ZA
dc.contributor.authorRoche, Stephen J. L.en_ZA
dc.date.accessioned2023-03-30T07:47:20Zen_ZA
dc.date.available2023-03-30T07:47:20Zen_ZA
dc.date.issued2021-11en_ZA
dc.descriptionCITATION: De Wet, J. et al. 2021. Do anatomical contoured plates address scapula body, neck and glenoid fractures? A multi-observer consensus study. South African Orthopaedic Journal, 20(4):213-218, doi:10.17159/2309-8309/2021/v20n4a4.en_ZA
dc.descriptionThe original publication is available at https://www.saoj.org.zaen_ZA
dc.description.abstractBackground: The surgical management of scapula body, neck and glenoid fractures remains a challenge. This study focuses on templating an available anatomical pre-contoured plating system using three-dimensional (3D)-printed scapulae to assess the ability of these plates to address the aforementioned fractures and to determine consensus on classifying scapula body, neck and glenoid fractures. Methods: We used a cohort of 22 3D-printed scapulae prototypes and an available anatomical precontoured plating system to determine anatomical congruency and fit. Nine investigators templated the scapulae using four pre-contoured plates, and the investigators classified the 22 scapulae using the Ideberg and AO/OTA classification systems. Results: Eleven out of 22 fractures were found to be fixable using the plates under study. The long lateral plate addressed 83% of fractures involving the lateral border, while the glenoid plate was unable to adequately address any glenoid fractures. We observed good to excellent (p ≤ 0.001) interobserver reliability for three of the four plates. The interobserver reliability was moderate (ICC = 0.74) for the AO/OTA classification and good (ICC = 0.88) for the Ideberg classification. Conclusion: We believe that the anatomical pre-contoured plating system does not address all the fracture patterns encountered in clinical practice and further development in plate design is required. There is good to moderate interobserver reliability using the Ideberg fracture classification for intra-articular fractures and the AO/OTA classification for extra-articular fractures involving the body.en_ZA
dc.description.urihttps://www.saoj.org.za/index.php/saoj/article/view/432en_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent6 pagesen_ZA
dc.identifier.citationDe Wet, J. et al. 2021. Do anatomical contoured plates address scapula body, neck and glenoid fractures? A multi-observer consensus study. South African Orthopaedic Journal, 20(4):213-218, doi:10.17159/2309-8309/2021/v20n4a4.en_ZA
dc.identifier.issn2309-8309 (online)en_ZA
dc.identifier.issn1681-150X (print)en_ZA
dc.identifier.otherdoi:10.17159/2309-8309/2021/v20n4a4en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/126736en_ZA
dc.language.isoen_ZAen_ZA
dc.publisherMedpharm Publicationsen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectScapula -- Fractureen_ZA
dc.subjectThree-dimensional imagingen_ZA
dc.subjectHuman anatomyen_ZA
dc.subjectUCTDen_ZA
dc.titleDo anatomical contoured plates address scapula body, neck and glenoid fractures? A multi-observer consensus studyen_ZA
dc.typeArticleen_ZA
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