Player is loading...
A-0044 Accuracy of the assessment of the stage of osteoarthritis CMC I joint - X-ray vs. arthroscopy -
Holger Erne
Friday, June 15, 2018 · 6:15 p.m. · 07m 45s
Holger Erne, Michael Cerny, Denis Ehrl, Anna Bauer, Steffen Löw , Hans-Günther Machens, Daniel Schmauss Department for Plastic and Hand Surgery, Technical University Munich, Munich, Germany
Embed
Embed code is not allowed
This talk is part of a Private webcast, embeding is not permited.Transcriptions
Note: this content has been automatically generated.
00:00:00
please go a good much ladies and gentlemen i wanna speak about the accuracy of
00:00:05
for the x. ray for assessments of the scenes one joint off like this
00:00:10
and i will give your proposal for a new classification of and after topic evaluation
00:00:19
well to scalp a lot to do not just copy of the c. is you want joint
00:00:23
it's an elegant and less invasive technique of course only for lower or moderate stages
00:00:30
and we use it for the exact that diagnosis we use it for sounded like to me
00:00:35
for large or for a shrinking of the cup so if there's a problem with the stability
00:00:42
a no serious we have for seen in almost every case that there's a discrepancy between
00:00:48
what we expect from the x. ray and what we've seen through the scope
00:00:54
and this leads us to the question how accurate is it possible
00:00:57
to assess the stage of arthritis using the x. ray
00:01:02
and it's the eaten little the clicking classification still are suitable
00:01:10
so if you um see these two examples on the left side
00:01:15
e. x. rays and you see a on arthritis science but still the gap
00:01:20
is open and one could assume that the college is still intact
00:01:24
but if you see the boats joins to the scope on the right side
00:01:29
we have big areas of full thickness college defect so once as we never expected
00:01:37
so to prove this twenty three patients was uh are symptomatic seems you want joint
00:01:43
um have been schooled what's called already under included and the
00:01:47
belonging x. with pictures we showed chan experience hand surgeons
00:01:52
in order to assess in order to estimate the stage of arthritis
00:01:57
and the results have been compared to interrupt incorporate the findings
00:02:04
and this other set results fifty seven percent of the cases could not been us uh assessed correct
00:02:10
the cases have been assessed correct or have been underestimated never overestimated
00:02:16
and the lower the stage of arthritis the high or lost in the midst judgement
00:02:23
so in conclusion the accuracy of the c. in c. uh
00:02:28
of the assessment of the scenes one that's why this
00:02:31
arm with x. ray using the expect pictures is level i bought use the office corpus uh a good instrument
00:02:40
and consistently and another goes to our findings i wanna
00:02:45
give you a proposal for a new office could be classification of the scenes one of ideas
00:02:51
but for stages stage one there's no surveyor college tuition yeah
00:02:56
that's what is stage tool it starts with the
00:02:59
arm full thickness caught magician already full thickness i'm not bigger than the pro for and
00:03:06
it goes up to stage for with uh that we have to be um
00:03:12
exposed bone and it's uh only remnants of college at the at the borders
00:03:19
thank you very much
00:03:21
hi
00:03:24
thank you for nice a presentation uh any questions from the audience
00:03:30
yes do you perform the transcript piece now as a standalone operation
00:03:36
or is it a is it at your trip to to continue with an open
00:03:40
a triple sec to me if you can see that's damage one stage
00:03:46
well usually it's not a standalone operation usually b. b. use
00:03:50
it for doing large sent selectively things like that
00:03:55
i do uh you will be ready to go to continue with that
00:03:58
repair sector me for example if you can see that's that much
00:04:03
no i never will do this um if if the the damages that was
00:04:07
every year i go back to the patient to speak with him first
00:04:13
i have a question uh uh in full respect that the trust me it gives you
00:04:17
more detail to attract ask opportunity to think that a instead of a trust me
00:04:22
yeah you'd find a precise estimation uh upgradable try
00:04:26
this using in m. r. i. scans that
00:04:29
which would be more easy and mall easy to play him home
00:04:35
i didn't compare this sense of like really i i can't answer but
00:04:40
i don't think we get the same results that they um right
00:04:45
well the if you don't you think that you exceed the limits by comparing just an overview that doesn't
00:04:52
hurt patient within an i. b. m. easy procedure that is our trust okay well your rights um
00:05:01
i think it's just to prove for free you can see the this the shady in
00:05:05
some of these outright is where we all know that the x. rays we use
00:05:09
it's just for some information but that it doesn't i don't it isn't the base for treatment
00:05:17
you're right i'm connected you uh in your hospital the
00:05:21
full cost benefit analysis of this procedure it
00:05:26
again base did did did you perform a cost benefit must be not expendable and no
00:05:35
one for the question from the audience please let me explain what is your last night
00:05:44
because right now the sorry try what is the advantage of your office got
00:05:50
the class jason compared to the but yeah across got the casing
00:05:56
yeah good question um right now it's just not the knowledge that be on a two wrong
00:06:04
though wrote do wrong estimation tool wrong assessment that eternity to classification with or x. rays
00:06:11
um oh
00:06:13
since i know that i i tends to be more aggressive because if
00:06:18
you have no more cartilage it gets not better this time
00:06:22
but uh actually there's no really change i can uh to right now
00:06:30
my point is that there there's already enough of public transportation and and yours looks much like it
00:06:36
sorry i can't we don't understand at all what you're asking
00:06:41
can you just going to mike when i speak very loud and very clear
00:06:46
sure
00:06:48
but uh yeah already described an office clapping
00:06:51
specification for a osteoarthritis lucien c. joint
00:06:56
and i'm not sure in your presentation what is the difference or the advantage
00:07:02
of your classification
00:07:06
the difference is that we have seen that we have much earlier than
00:07:13
than expected on normal college and the joint
00:07:18
and this is the knowledge i have to
00:07:21
recognise
00:07:23
that's it
00:07:24
for now
00:07:29
i think we like to thank you for your attention in this uh session and we
00:07:34
close down and the hopefully see some of you at the fish party in a couple hours
