S72 S82
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Fracture of a long bone (femur, tibia, humerus) in the past - Availability of at least two radiographs in two planes each over the course of healing - Known fracture healing outcome: healed vs. delayed union/non-union - Inclusion of multiple fractures in different long bones is possible; each fracture is counted as a separate case
Exclusion criteria
Exclusion criteria: - Poor radiograph quality preventing evaluation, if fewer than two assessable image sets are available - Presence of prior fractures, cysts, or tumors in the same bone - Two or more acute fractures in the same long bone captured in the same radiograph
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| What is the prognostic accuracy (sensitivity and specificity) of the RUS score (Radiographic Union Score) 8 weeks after fracture for distinguishing between patients with fracture union and non-union in fresh fractures of the femur, tibia, and humerus? | — |
Secondary
| Measure | Time frame |
|---|---|
| - What is the influence of health-related and sociodemographic factors on the prognostic accuracy, as assessed by the RUS score, including sex, age, weight, height, ethnicity, comorbidities, and smoking status? - How does the timing of imaging affect the statistical analysis of the prognostic performance of the RUS score in relation to treatment outcomes? - What is the interrater variability between trauma surgeons and radiologists with regard to RUS score assessments? - Can existing scoring systems, primarily developed for diaphyseal fractures, be reliably applied to fractures outside the shaft region? - Is it feasible to automatically extract RUS score values from radiographic images? - Can an automated method provide reliable prediction of fracture healing? - What validation measures are required to verify the obtained RUS score values? | — |
Countries
Germany
Contacts
Berufsgenossenschaftliches Klinikum Hamburg