Comparison of 3D Surface Rendering CT to Plain Lateral Radiographs for Quantification and Characterisation of Posterior Malleolar Fracture Fragment Size and Morphology

Description

In this presentation, Howard Stringer, a Core Surgical Trainee from Liverpool, discusses a comparative study on the effectiveness of CT scans versus plain radiographs for the evaluation of posterior malleolar fractures in the ankle. The presentation outlines the inadequacies of standard imaging techniques, emphasizing the need for CT scans to accurately assess fracture size and morphology, which is critical for surgical planning. The study involved a cohort of 180 patients over five years, focusing on specific classification systems for these types of fractures. Stringer highlights significant findings, indicating that plain radiographs offer poor diagnostic accuracy and advocates for mandatory CT imaging to enhance treatment strategies. The dialogue also touches on future implications in surgical practices regarding fracture classifications and management protocols.

DOI: 10.1302/3114-221395

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