Inter-Rater Reliability of the Modified Radiographic Union Score for Diaphyseal Tibial Fractures With Bone Defects
| Autor: | Stuart L, Mitchell, William T, Obremskey, Jason, Luly, Michael J, Bosse, Katherine P, Frey, Joseph R, Hsu, Ellen J, MacKenzie, Saam, Morshed, Robert V, OʼToole, Daniel O, Scharfstein, Paul, Tornetta, Tara, Taylor |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Adolescent medicine.medical_treatment Radiography Tibia Fracture Bone healing Bone Nails Article law.invention Cohort Studies Intramedullary rod Fractures Open 03 medical and health sciences External fixation 0302 clinical medicine law Fracture fixation Bone plate medicine Humans Orthopedics and Sports Medicine Tibia Child Aged Retrospective Studies Observer Variation Orthodontics 030222 orthopedics business.industry Reproducibility of Results 030208 emergency & critical care medicine General Medicine Middle Aged Fracture Fixation Intramedullary Tibial Fractures Female Surgery Diaphyses business Bone Plates |
| Zdroj: | J Orthop Trauma |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000001445 |
| Popis: | OBJECTIVES: To evaluate inter-rater reliability of the modified Radiographic Union Score for Tibial (mRUST) fractures among patients with open, diaphyseal tibia fractures with a bone defect treated with intramedullary nails (IMNs), plates, or definitive external fixation (ex-fix). DESIGN: Retrospective cohort study. SETTING: 15 level one civilian trauma centers; 2 military treatment facilities. PATIENTS/PARTICIPANTS: Patients ≥18-years-old with open, diaphyseal tibia fractures with a bone defect ≥1 centimeter surgically treated between 2007 and 2012. INTERVENTION: Three of six orthopaedic traumatologists reviewed and applied mRUST scoring criteria to radiographs from the last clinical visit within 13 months of injury. MAIN OUTCOME MEASUREMENTS: Inter-rater reliability was assessed using Krippendorff’s Alpha (KA) statistic; Intraclass correlation coefficient (ICC) is presented for comparison to previous publications. RESULTS: 213 patients met inclusion criteria including 115 IMNs, 24 plates, 29 ex-fixes, and 45 cases that no longer had instrumentation at evaluation. All reviewers agreed on the pattern of scoreable cortices for 90.4% of IMNs, 88.9% of those without instrumentation, 44.8% of rings, and 20.8% of plates. Thirty-one (15%) cases, primarily plates and ex-fixes, did not contribute to KA and ICC estimates because |
| Databáze: | OpenAIRE |
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