RESUMO
OBJECTIVE: This pilot study tested the reliability, validity and sensitivity of an innovative prototype iPad app, WoundAide, developed to measure wound dimension (length, width and surface area) using image analysis. METHOD: A prospective evaluation was conducted comparing WoundAide (WA) with two gold standard instruments, Wound Zoom (WZ) and Visitrak (VT). The study was conducted in a tertiary hospital in Singapore. Patients were recruited after obtaining local ethics approval. RESULTS: We recruited six patients with 10 venous wounds. Images were captured by two researchers. Generally, 7/10 (70%) of the wounds had surface areas of less than 16cm². The intraclass correlation coefficient was greater than 0.95 for length, width and surface area for all measuring devices. The mean differences for length, width and surface area were not statistically significant. The average percentage of coefficient of variation for WA ranged from 3% to 33.3%, WZ 1.3% to 19.3%, and VT 2.1% to 43.4%. Length, width and surface area fell within the 95% limit of agreement. The capturing sensitivity was, on average, 75% for WA, 99.4% for VT, and 100% for WZ. CONCLUSION: WA has similar reliability and validity as WZ and VT. However, WA has the least sensitivity in image captures. Nonetheless, with enhancements made to its user-interface and system algorithm, this limitation can be addressed.
Assuntos
Computadores de Mão , Úlcera do Pé/diagnóstico , Aplicativos Móveis , Úlcera Varicosa/diagnóstico , Adulto , Idoso , Feminino , Úlcera do Pé/patologia , Humanos , Processamento de Imagem Assistida por Computador , Úlcera da Perna/diagnóstico , Úlcera da Perna/patologia , Masculino , Pessoa de Meia-Idade , Fotografação , Projetos Piloto , Reprodutibilidade dos Testes , Úlcera Varicosa/patologia , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/patologiaRESUMO
Gamma nail breakage is an uncommon occurrence that often arises from fatigue failure of the implant, with a reported incidence ranging from 0.2 to 5.7 percent. We report a 73-year-old woman with a three-part intertrochanteric fracture and who presented two years postoperatively with gamma nail failure secondary to fracture non-union. This patient underwent a revision long-stem bipolar hemi-arthroplasty and has been followed-up for 24 months, with good functional and radiological results.
