Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1186-1189
SUN Da-yong, MA Xiao-kai, CHEN Liu-cheng, LIU Hao, YANG Bo, GUO Jun-ning. Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1186-1189. doi: 10.16766/j.cnki.issn.1674-4152.002554
Citation: SUN Da-yong, MA Xiao-kai, CHEN Liu-cheng, LIU Hao, YANG Bo, GUO Jun-ning. Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1186-1189. doi: 10.16766/j.cnki.issn.1674-4152.002554
shu

Application of 64-slice spiral CT multiplanar reconstruction and volume rendering technique in complex tibial plateau fractures

doi: 10.16766/j.cnki.issn.1674-4152.002554
  • 1.

    Department of Radiology, the Third People's Hospital of Bengbu, Bengbu, Anhui 233000, China

Funds:

 KJ2019A0347

  • Received Date: 2021-09-25
    Available Online: 2022-09-23
    Abstract
  •   Objective  To investigate the value of 64-slice spiral CT multiplanar reconstruction (MPR) and volume rendering (VR) technique in the diagnosis, classification and treatment plan of tibial plateau fractures.  Methods  The clinical data of 69 suspected patients with tibial plateau fracture in the Third people's Hospital of Bengbu from June 2020 to December 2021 were selected. The relevant data of tibial fracture were obtained by CT scanning, and the data were reconstructed and volume reconstructed by ADW4.4 workstation to diagnose the patient's condition. Compared with diagnostic of X-ray, the diagnostic coincidence rate and typing accuracy were analyzed and studied.  Results  A total of 65 patients with tibial plateau fractures were diagnosed, including 35 males and 30 females, the average age was (49.69±15.91) years. In this study, patients aged 50-59 years accounted for the highest proportion (26.2%), followed with patients aged 40-49 years (23.1%). Schatzker type Ⅰ tibial plateau fracture was the most common type, with 19 cases (29.2%), followed by Schatzker type Ⅱ(26.2%), Schatzker type Ⅲ(13.8%) and Schatzker type Ⅳ(13.8%). There was no significant difference in Schatzker classification between Sexes (P > 0.05). Compared with the standard of surgical classification, the accuracy of X-ray diagnosis was 81.5% (53/65), and the accuracy of CT MPR+VR was 98.5% (64/65), with statistically significant difference (χ2 =10.342, P < 0.01).  Conclusion  64-slice spiral CT multiplanar reconstruction and volume reconstruction technology can well identify and diagnose the true situation of tibial fracture, and deeply explore the hidden damage around the joint, which can provide a powerful basis for clinical treatment.

     

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