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Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability
Objectives The Radiographic Union Score for Tibia (RUST) scoring system has been validated in multiple studies assessing the healing of tibial fractures. Our objective was to assess the inter and intraobserver reliability for the RUST in diaphyseal femoral fractures treated with intramedullary (IM)...
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| Format: | Thesis |
| Language: | English |
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Division of General Surgery
2023
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| _version_ | 1867613215706316800 |
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| access_status_str | Open Access |
| author | Panchoo, Pravesh |
| author2 | Laubscher, Maritz |
| author_browse | Laubscher, Maritz Panchoo, Pravesh |
| author_facet | Laubscher, Maritz Panchoo, Pravesh |
| author_sort | Panchoo, Pravesh |
| collection | Thesis |
| description | Objectives The Radiographic Union Score for Tibia (RUST) scoring system has been validated in multiple studies assessing the healing of tibial fractures. Our objective was to assess the inter and intraobserver reliability for the RUST in diaphyseal femoral fractures treated with intramedullary (IM) nailing. Patients and Methods A total of 60 sets of anteroposterior (AP) and lateral radiographs of diaphyseal femoral fractures treated by reamed IM nailing were randomly selected from a prospectively collected database. The 60 sets of radiographs were then scored by three reviewers using the RUST system. Interobserver reliability was measured at initial scoring. The 60 sets of radiographs were scored again by the three reviewers to calculate the intraobserver reliability. Results The RUST scores ranged from 4 to 12 with a mean score of 11.3 ± 1.3. The interobserver intraclass correlation coefficient (ICC) was 0.87 (95% CI, 0.81-0.92) and the intraobserver ICC was 0.91 (95% CI, 0.88-0.94), which indicated excellent agreement. Conclusion This study demonstrated that the RUST system can be used reliably in the assessment of healing in diaphyseal femur fractures treated by reamed intramedullary nailing, with excellent interobserver and intraobserver reliability. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/37733 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:36.207Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/37733 Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability Panchoo, Pravesh Laubscher, Maritz RUST Score Intraobserver Interobserver Reliability Femur fractures Intramedullary nail Objectives The Radiographic Union Score for Tibia (RUST) scoring system has been validated in multiple studies assessing the healing of tibial fractures. Our objective was to assess the inter and intraobserver reliability for the RUST in diaphyseal femoral fractures treated with intramedullary (IM) nailing. Patients and Methods A total of 60 sets of anteroposterior (AP) and lateral radiographs of diaphyseal femoral fractures treated by reamed IM nailing were randomly selected from a prospectively collected database. The 60 sets of radiographs were then scored by three reviewers using the RUST system. Interobserver reliability was measured at initial scoring. The 60 sets of radiographs were scored again by the three reviewers to calculate the intraobserver reliability. Results The RUST scores ranged from 4 to 12 with a mean score of 11.3 ± 1.3. The interobserver intraclass correlation coefficient (ICC) was 0.87 (95% CI, 0.81-0.92) and the intraobserver ICC was 0.91 (95% CI, 0.88-0.94), which indicated excellent agreement. Conclusion This study demonstrated that the RUST system can be used reliably in the assessment of healing in diaphyseal femur fractures treated by reamed intramedullary nailing, with excellent interobserver and intraobserver reliability. 2023-04-14T08:46:33Z 2023-04-14T08:46:33Z 2022 2023-04-14T07:11:59Z Master Thesis Masters MMed http://hdl.handle.net/11427/37733 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | RUST Score Intraobserver Interobserver Reliability Femur fractures Intramedullary nail Panchoo, Pravesh Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| thesis_degree_str | Master's |
| title | Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| title_full | Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| title_fullStr | Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| title_full_unstemmed | Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| title_short | Radiographic Union Score for Tibia (RUST) scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing: an assessment of interobserver and intraobserver reliability |
| title_sort | radiographic union score for tibia rust scoring system in adult diaphyseal femoral fractures treated with intramedullary nailing an assessment of interobserver and intraobserver reliability |
| topic | RUST Score Intraobserver Interobserver Reliability Femur fractures Intramedullary nail |
| url | http://hdl.handle.net/11427/37733 |
| work_keys_str_mv | AT panchoopravesh radiographicunionscorefortibiarustscoringsysteminadultdiaphysealfemoralfracturestreatedwithintramedullarynailinganassessmentofinterobserverandintraobserverreliability |