Reproducibility of the stability-based classification for ankle fractures
| Autor: | Jesper Stork-Hansen, Bjarke Viberg, Tamim A Haidari, Rune Dueholm Bech, Roland Knudsen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Joint Instability Male medicine.medical_specialty Traumatology Ankle Fractures Conservative Treatment Stability assessment 03 medical and health sciences 0302 clinical medicine Cohen's kappa Fracture Fixation Ankle fracture medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Observer Variation 030222 orthopedics Reproducibility Ankle stability business.industry Patient Selection Reproducibility of Results Classification Radiography medicine.anatomical_structure Orthopedic surgery Physical therapy Surgery Female Ankle business Stability Kappa |
| Zdroj: | Viberg, B, Haidari, T A, Stork-Hansen, J, Knudsen, R & Bech, R D 2019, ' Reproducibility of the stability-based classification for ankle fractures ', European Journal of Orthopaedic Surgery & Traumatology, vol. 29, no. 5, pp. 1125-1129 . https://doi.org/10.1007/s00590-019-02404-8 |
| DOI: | 10.1007/s00590-019-02404-8 |
| Popis: | BACKGROUND: Classification of ankle fracture is important when deciding for operative or conservative treatment. This study rates the reproducibility of ankle stability assessment and compares it with the classification by Lauge-Hansen and Arbeitsgemeinschaft für Osteosyntesefragen (AO) in adult patients with primary ankle fractures.METHODS: A total of 496 consecutive ankle fractures were included, and the X-ray images were reviewed 2 times by 2 medical students, 2 residents, and 1 consultant in orthopedic traumatology. The raters were blinded to each other and to their own results. Unweighted Kappa statistics were used to assess reproducibility.RESULTS: Overall mean (95% CI) interrater Kappa results were 0.65 (0.64; 0.68) for Lauge-Hansen, 0.62 (0.60; 0.63) for AO and 0.61 (0.57; 0.62) for the stability assessment. The intrarater results ranged from a mean Kappa of 0.64-0.80 for the medical students, 0.65-0.81 for the residents and 0.82-0.84 for the consultant.CONCLUSION: The stability assessment has substantial to almost-perfect agreement which is comparable to the Lauge-Hansen and AO classifications. |
| Databáze: | OpenAIRE |
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