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Trial reportJournal of orthopaedic surgery and research2023

Correlations between 3D preoperative planning and postoperative reduction in the osteosynthesis of distal humeral fractures.

Yuichi Yoshii, Sho Iwabuchi, Akira Ikumi, Sho Kohyama, Takeshi Ogawa, Tomoo Ishii

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04349319 (Development of Three Dimensional Preoperative Planning System for the Osteosynthesis of Distal Humerus Fractures), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04349319 naunknown statusnot on this map

Development of Three Dimensional Preoperative Planning System for the Osteosynthesis of Distal Humerus Fractures

TypeinterventionalSponsorTokyo Medical UniversityRan2017 to 2025Enrolled60ConditionsDistal Humerus FractureArmsDigital preoperative planning
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Yuichi YoshiiDepartment of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Inashiki, Ibaraki, 300-0395, Japan. yyoshii@tokyo-med.ac.jp.
Sho IwabuchiDepartment of Orthopaedic Surgery, University of Tsukuba Hospital, Tsukuba, Ibaraki, 305-8576, Japan.
Akira IkumiDepartment of Orthopaedic Surgery, University of Tsukuba Hospital, Tsukuba, Ibaraki, 305-8576, Japan.
Sho KohyamaDepartment of Orthopaedic Surgery, Kikkoman General Hospital, Noda, Chiba, 278-0005, Japan.
Takeshi OgawaDepartment of Orthopaedic Surgery, Mito Medical Center Hospital, Ibaraki, Ibaraki, 311-3193, Japan.
Tomoo IshiiDepartment of Orthopaedic Surgery, Tokyo Medical University Ibaraki Medical Center, 3-20-1 Chuo, Ami, Inashiki, Ibaraki, 300-0395, Japan.
Tokyo Medical University Ibaraki Medical Center · JPUniversity of Tsukuba Hospital · JPKikkoman (Japan) · JPNational Hospital Organization Mito Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional preoperative planning has been applied to the osteosynthesis of distal humerus fractures. The present study investigated the correlations between 3D preoperative planning and postoperative reduction for the osteosynthesis of distal humerus fractures using 3D parameters.

methodsTwenty-three elbows of 23 distal humerus fracture patients who underwent osteosynthesis with three-dimensional preoperative planning were evaluated. 3D images of the distal humerus were created after taking preoperative CT scans of the injured elbow. Fracture reduction, implant selection, and placement simulations were performed based on 3D images. Postoperative CT images were taken 1 month after surgery. Correlations were evaluated with preoperative plans and postoperative 3D images. The longitudinal axis and coordinates of the humerus were defined on the 3D images. The coronal angle (CA) was defined as the angle formed by the long axis and the line connecting the medial and lateral margins of the trochlea of the humerus on a coronal plane image. The sagittal angle (SA) was defined as the angle formed by the long axis and the line connecting the top of the lateral epicondyle and the center of the humeral capitellum on a sagittal plane image. The axial angle (AA) was defined as the angle between the sagittal plane and the line connecting the medial and lateral margins behind the trochlea of the humerus. The intraclass correlation coefficients (ICC) of each measurement value were assessed between preoperative planning and postoperative images.

resultsPreoperative planning and postoperative measurement values were CA: 85.6 ± 5.9°/85.8 ± 5.9°, SA: 140.9 ± 8.5°/139.4 ± 7.9°, and AA: 84.0 ± 3.1°/82.6 ± 4.9°, respectively. ICCs were CA: 0.75 (P < 0.01), SA: 0.78 (P < 0.01), and AA: 0.34 (P < 0.05), respectively.

conclusionsThe 3D preoperative planning of distal humeral fractures achieved the good correlations of coronal and sagittal angles, but the relatively poor correlation of the axial angle. This may be attributed to an inability to assess the rotation angle during surgery. We propose the measurement indices shown in the present study as a three-dimensional evaluation index for distal humerus fractures.

trial registrationRegistered as NCT04349319 at ClinicalTrials.gov.

Indexed as

Fracture Fixation, InternalHumeral Fractures, DistalTomography, X-Ray ComputedElbow JointHumansHumeral FracturesHumerusImaging, Three-DimensionalPreoperative CareRotationTreatment OutcomeComputed tomographyComputer-assisted orthopedic surgeryDistal humerus fractureOsteosynthesisPreoperative planThree dimensions

Identifiers

PMID37031170
PMCPMC10082491
OpenAlexW4362723270

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.