Comparison of Plain Radiography with Spiral Computed Tomography and 3D Reformation in Tibial Plateau Fractures: A Cross-sectional Study

Introduction: Tibial plateau fractures may result in major disabilities if not diagnosed at the right time. Plain radiography is first and foremost imaging modality of choice to evaluate trauma followed by Computed Tomography (CT). Aim: To tibial on CT compare them with 3D reformations plain radiography, classify using Schatzker’s classification. Materials Methods: The prospective cross-sectional study was conducted a tertiary care centre Bengaluru, Karnataka, India, between November 2016 June 2018. sample comprised 53 patients who presented fracture plateau. Demographic details brief clinical history subjects were recorded. All underwent conventional as well knee, including three-Dimensional (3D) reconstruction. region interest assessed for presence, displacement, depression, extent comminution fracture. Data analysed R version 4.0.3. Chi-square test used see association different variables. Cohen’s Kappa employed determine agreement radiograph findings. Results: mean age 44.01±13.23 years. line communition visible all sections samples, but did reveal 9.43% (p=0.003) only 15.09% sample. On comparing findings fractures, close perfect diagnosing displacement (Cohen’s Kappa, 0.9618, p<0.001), fair 0.3748; p=0.0015) noted. positive predictive value detection rate 88.7% 98.1%, respectively. These per classification revealed majority had bicondylar diaphyseal discontinuity 19 (35.85%) 14 (26.42%). Conclusion: In this study, observed be an excellent evaluation when compared radiography.