Quantitative fit analysis of acromion fracture plating systems using three-dimensional reconstructed scapula fractures – a multi-observer study

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dc.contributor.authorCharilaou, Johanen_ZA
dc.contributor.authorDey, Roopamen_ZA
dc.contributor.authorBurger, Marilizeen_ZA
dc.contributor.authorSivarasu, Sudeshen_ZA
dc.contributor.authorVan Staden, Ruanen_ZA
dc.contributor.authorRoche, Stephenen_ZA
dc.date.accessioned2023-03-31T08:38:00Zen_ZA
dc.date.available2023-03-31T08:38:00Zen_ZA
dc.date.issued2021en_ZA
dc.descriptionCITATION: Charilaou, J. et al. 2021. Quantitative fit analysis of acromion fracture plating systems using three-dimensional reconstructed scapula fractures – a multi-observer study. SICOT-J, 7:36, doi:10.1051/sicotj/2021028.en_ZA
dc.descriptionThe original publication is available at https://www.sicot-j.orgen_ZA
dc.description.abstractIntroduction: Surgical treatment of displaced acromial and scapula spine fractures may be challenging due to the bony anatomy and variable fracture patterns. This difficulty is accentuated by the limitations of the available scapular plates for fracture fixation. This study compares the quantitative fitting of anatomic scapular plates and clavicle plates, using three-dimensional (3D) printed fractured scapulae. Methods: Fourteen scapulae with acromion and spine fractures were used for this study. Computerized tomographic (CT) scans of the fractured scapulae were obtained from the Philips picture archiving and communication system (PACS) database of patients admitted to a tertiary teaching hospital in Cape Town, South Africa between 2012 and 2016. The reconstructed scapulae were 3D printed and the anatomical acromion and clavicle plates were templated about the fracture regions. The fit assessment was performed by five observers who classified the plates as no-fit, intermediate fit, and anatomical fit according to the surgical guidelines. Results: The 6-hole anterior clavicle plate performed better than any of the scapular plates as they were able to fit 45.7% of the fractured acromion, including the spine. Among the pre-contoured anatomical scapula plates, both the short and the long acromion plates could fit only 27.3% of the fractured acromion. The intraclass correlation coefficient was 0.965 suggesting excellent consensus among the five observers. Conclusion: Clavicle plates were found to be better suited to fit around a scapula fracture in its acromion and spine region.en_ZA
dc.description.versionPublisher's versionen_ZA
dc.format.extent7 pagesen_ZA
dc.identifier.citationCharilaou, J. et al. 2021. Quantitative fit analysis of acromion fracture plating systems using three-dimensional reconstructed scapula fractures – a multi-observer study. SICOT-J, 7:36, doi:10.1051/sicotj/2021028.en_ZA
dc.identifier.issn2426-8887 (online)en_ZA
dc.identifier.otherdoi:10.1051/sicotj/2021028en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/126747en_ZA
dc.language.isoen_ZAen_ZA
dc.publisherEDP Sciencesen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectFracturesen_ZA
dc.subjectInternal fixation in fracturesen_ZA
dc.subjectScapula -- Fracturesen_ZA
dc.subjectOrthopedic surgeryen_ZA
dc.titleQuantitative fit analysis of acromion fracture plating systems using three-dimensional reconstructed scapula fractures – a multi-observer studyen_ZA
dc.typeArticleen_ZA
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