Journal of Research in Orthopedic Science، جلد ۶، شماره ۳، صفحات ۷-۱۲

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عنوان انگلیسی Comparison of Computed Tomography Scan and Plain Radiograph for the Assessment of Postoperative :union: in Patients Treated for Scaphoid Non:union:
چکیده انگلیسی مقاله Background: The appropriate monitoring of :union: following the treatment of scaphoid non:union: is essential. However, there is no consensus regarding the optimal imaging modality for this evaluation.  Objectives: Here, we compared the reliability of plain radiographs with computed tomography (CT) scanning in determining the :union: of scaphoid following the scaphoid non:union:. Methods: In this retrospective study, 25 patients, who underwent the surgical treatment of scaphoid non:union: and had both plain radiographs and CT images, were included. The surgical procedure included open reduction, illiac crest bone graft, and K-wire fixation. Two different observers assessed the healing of scaphoid non:union: by both imaging modalities and graded as healed or non-healed. Results: The mean±SD age of the patients was 29.1±6.8 years. The mean±SD time interval from the operation to imaging was 6.5±2.5 months. Based on the plain radiographs, all patients achieved the scaphoid :union:. However, in the CT evaluation, 23(92%) patients showed the scaphoid :union:. Accordingly, CT images and plain radiographs agreed in 23 cases and disagreed in two cases. This difference was not statistically significant (P=0.5). Conclusion: In a subset of patients, who underwent the operation for the treatment of scaphoid non:union:, plain radiographs might falsely confirm a scaphoid :union:. In these patients, a complementary CT evaluation might be helpful in the accurate assessment of scaphoid healing. 
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نویسندگان مقاله | Hooman Shariatzadeh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Farid Najd Mazhar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Hamidreza Dehghani Nazhvani
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.


| Hojjat Eghbali Jelodar
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.



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