The intra- and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems

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Küçük Resim

Tarih

2022

Dergi Başlığı

Dergi ISSN

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Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

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 (?=0.516), while the classification system with the best intraobserver fit was found to be OTA main groups (?=0.744). The worst agreement among surgeons was in the Evans classification system (?=0.456). However, the best intraobserver agreement was in the OTA main groups (?=0.741). The best interobserver agreement was observed regarding the OTA main groups (?=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.

Açıklama

Anahtar Kelimeler

Kaynak

Jt Dis Relat Surg

WoS Q Değeri

Q3

Scopus Q Değeri

N/A

Cilt

33

Sayı

1

Künye

Yıldırım, C., Muratoğlu, O. G., Turan, K., Ergün, T., Mısır, A., & Aydın, M. (2022). The intra-and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems. Jt Dis Relat Surg, 33(1), 187-192.