Objective To evaluate the decision of orthopedics surgeons regarding which cases they would indicate surgery or non-surgical treatment. Methods 20 images of radiographs with fracture in the middle third of the collar bone (AO/OTA 15-B) in anteroposterior view were analyzed, and divided into four groups: group 1 – fracture type AO/OTA 15-B1 without displacement; group 2 – fracture type AO/OTA 15-B1 with displacement; group 3 – fracture type AO/OTA 15-B2; group 4 – fracture type AO/OTA 15-B3. The evaluator was requested to indicate the choice of treatment, surgical or non-surgical. Results There was no strong correlation between the amount of surgical indications and the working experience or age of the medical evaluator. It was observed that the average of surgical indications in the total sample was 52%. When indications were studied in different areas of Brazil, there was no significant difference among them. No pattern for the Brazilian regions studied was observed in the case analysis. Even within a group (cases of the same complexity), no specific pattern of surgical indication was observed. Conclusion No association between surgical indication and the length of professional experience was found. The Southern and Southeastern regions were those that most recommended surgeries in groups 2, 3, and 4. In no region the same level of surgical indication for cases of the same complexity rate was kept.
展开▼
机译:目的评估骨科医生关于哪些病例需要手术或非手术治疗的决定。方法对20例颈骨中间骨折的X线片(AO / OTA 15-B)进行前后图像分析,分为4组:第1组-无移位的骨折型AO / OTA 15-B1;第2组– AO / OTA 15-B1型骨折,位移;第3组–骨折类型AO / OTA 15-B2;第4组– AO / OTA 15-B3型骨折。要求评估者指出手术或非手术治疗的选择。结果手术适应证的数量与医疗评估者的工作经验或年龄之间无显着相关性。观察到总样本中手术指征的平均值为52%。在巴西不同地区研究适应症时,它们之间没有显着差异。在案例分析中,未观察到所研究的巴西地区的模式。即使在一组内(复杂度相同的情况下),也没有观察到特定的手术指征模式。结论未发现手术适应证与专业经验的长短之间存在关联。南部和东南部地区是最推荐在第2、3和4组进行手术的地区。在任何地区,对于相同复杂度的病例,都没有相同的手术指征水平。
展开▼