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The intra- and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems
Objectives: This study aims to evaluate the effect of surgical experience on reliability for Boyd-Griffin, Evans/Jensen, Evans, Orthopaedic Trauma Association (main and subgroups), and Tronzo classification systems. Patients and methods: Between January 2013 and December 2014, radiological images of a total of 60 patients (13 males, 47 females; mean age: 78.9±21.9 years; range, 61 to 96 years) with the diagnosis of intertrochanteric femur fracture were analyzed. Radiographs were evaluated and classified by five residents and five orthopedics and traumatology surgeons according to the Evans, Boyd-Griffin, Evans/Jensen, OTA, and Tronzo classification systems. Intra- and interobserver reliability were calculated using the kappa statistics. Results: The worst intraobserver compatibility among the residents was the classification system with OTA subgroups (κ=0.516), while the classification system with the best intraobserver fit was found to be OTA main groups (κ=0.744). The worst agreement among surgeons was in the Evans classification system (κ=0.456). However, the best intraobserver agreement was in the OTA main groups (κ=0.741). The best interobserver agreement was observed regarding the OTA main groups (κ=0.699). Conclusion: The classification that has the best harmony both among residents and surgeons, and between residents and surgeons is the OTA main group classification. ; 35361094
The intra- and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems
Objectives: This study aims to evaluate the effect of surgical experience on reliability for Boyd-Griffin, Evans/Jensen, Evans, Orthopaedic Trauma Association (main and subgroups), and Tronzo classification systems. Patients and methods: Between January 2013 and December 2014, radiological images of a total of 60 patients (13 males, 47 females; mean age: 78.9±21.9 years; range, 61 to 96 years) with the diagnosis of intertrochanteric femur fracture were analyzed. Radiographs were evaluated and classified by five residents and five orthopedics and traumatology surgeons according to the Evans, Boyd-Griffin, Evans/Jensen, OTA, and Tronzo classification systems. Intra- and interobserver reliability were calculated using the kappa statistics. Results: The worst intraobserver compatibility among the residents was the classification system with OTA subgroups (κ=0.516), while the classification system with the best intraobserver fit was found to be OTA main groups (κ=0.744). The worst agreement among surgeons was in the Evans classification system (κ=0.456). However, the best intraobserver agreement was in the OTA main groups (κ=0.741). The best interobserver agreement was observed regarding the OTA main groups (κ=0.699). Conclusion: The classification that has the best harmony both among residents and surgeons, and between residents and surgeons is the OTA main group classification. ; 35361094
The intra- and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems
Yıldırım, Cem (Autor:in) / Turan, Kaya (Autor:in) / Ergun, Turgul (Autor:in) / Mısır, Abdulhamit (Autor:in) / Aydın, Mahmud (Autor:in) / Muratoglu, Osman Gorkem (Autor:in) / İstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü / orcid:0000-0003-0049-7937 / orcid:0000-0002-0547-995X / Turan, Kaya
01.01.2022
192
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
DDC:
710
Osteosynthesis of an intertrochanteric fracture on osteopetrosis A case report
Elsevier | 2024
|Online Contents | 1997
Online Contents | 1996
Online Contents | 1996
Online Contents | 1997