{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:16:34Z","timestamp":1777612594332,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T00:00:00Z","timestamp":1554681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>To date, there is no consensus regarding which postoperative imaging technique should be used after open reduction and internal fixation of an intra-articular calcaneal fracture. The aim of this study was to clarify whether Brod\u00e9n\u2019s view is sufficient as postoperative radiologic examination to assess step-offs and gaps of the posterior facet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Six observers estimated the size of step-offs and gaps on Brod\u00e9n\u2019s view in 42 surgically treated intra-articular calcaneal fractures. These findings were compared to postoperative CT scans (gold standard). Inter- and intraobserver reliability were calculated and compared using intraclass correlation coefficients (ICCs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>An accuracy of approximately 75% for both step-offs and gaps was found in foot and ankle experts. Less experienced observers correctly identified step-offs and gaps in approximately 62% of cases on fluoroscopy and in 48% on radiographs. Interobserver reliability for intraoperative fluoroscopy as well as postoperative radiographs was fair for step-offs, whereas interobserver reliability for gaps was excellent. Intraobserver reliability showed a low level of agreement for intraoperative fluoroscopy, in contrast to postoperative radiographs with excellent agreement for step-offs and good agreement for gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results show that especially for more experienced foot and ankle surgeons, in the majority of fractures, Brod\u00e9n\u2019s view accurately showed step-offs and gaps following open reduction and internal fixation. Interobserver reliability showed a fair level of agreement for step-offs and excellent agreement for gaps. Intraobserver reliability was only enough for radiographs, not for fluoroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100719840812","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T06:13:11Z","timestamp":1554703991000},"page":"797-802","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Identification of Postoperative Step-Offs and Gaps With Brod\u00e9n\u2019s View Following Open Reduction and Internal Fixation of Calcaneal Fractures"],"prefix":"10.1177","volume":"40","author":[{"given":"Rosalie C.","family":"Looijen","sequence":"first","affiliation":[{"name":"Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Misselyn","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, University Hospitals Leuven (UZ), Louvain, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5675-9759","authenticated-orcid":false,"given":"Manouk","family":"Backes","sequence":"additional","affiliation":[{"name":"Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siem A.","family":"Dingemans","sequence":"additional","affiliation":[{"name":"Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens A.","family":"Halm","sequence":"additional","affiliation":[{"name":"Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Schepers","sequence":"additional","affiliation":[{"name":"Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,8]]},"reference":[{"key":"bibr1-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1706-3"},{"key":"bibr2-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716678808"},{"key":"bibr3-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017713616"},{"key":"bibr4-1071100719840812","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01199"},{"key":"bibr5-1071100719840812","doi-asserted-by":"publisher","DOI":"10.3109\/00016924909136638"},{"key":"bibr6-1071100719840812","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200210000-00001"},{"key":"bibr7-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3533-z"},{"key":"bibr8-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.6.4.284"},{"key":"bibr9-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1148\/rg.255045713"},{"key":"bibr10-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3236-x"},{"key":"bibr11-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715576518"},{"key":"bibr12-1071100719840812","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01220"},{"key":"bibr13-1071100719840812","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.08.1.p023"},{"key":"bibr14-1071100719840812","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.158.6.1590122"},{"key":"bibr15-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"bibr16-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302401214"},{"key":"bibr17-1071100719840812","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2012.4.3.221"},{"key":"bibr18-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-010-0081-8"},{"key":"bibr19-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.03.031"},{"key":"bibr20-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901209"},{"key":"bibr21-1071100719840812","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.0925"},{"key":"bibr22-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3577-0"},{"key":"bibr23-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000169"},{"key":"bibr24-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000819"},{"key":"bibr25-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716650538"},{"key":"bibr26-1071100719840812","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9584.1999.00153.x"}],"container-title":["Foot &amp; 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