| Autor: |
Deependra Yadav, Bibek Banskota, Rajendra Aryal, Nitesh raj Pandey, Ansul raj Bhandari, Rajan Bhusal, Ashok Kumar Banskota |
| Jazyk: |
angličtina |
| Rok vydání: |
2025 |
| Předmět: |
|
| Zdroj: |
Journal of Orthopaedic Reports, Vol 4, Iss 2, Pp 100519- (2025) |
| Druh dokumentu: |
article |
| ISSN: |
2773-157X |
| DOI: |
10.1016/j.jorep.2024.100519 |
| Popis: |
Background: Acetabular fractures account for 1–2% of all fractures and pose significant challenges for orthopedic surgeons due to complex anatomy and risks of long-term functional impairment. The Letournel and Judet (L-J) classification system, while popular for its simplicity and association with surgical outcomes, raises concerns about interobserver reliability and intraobserver repeatability across different populations. Objective: To assess the interobserver reliability and intraobserver repeatability of the L-J classification for acetabular fractures and evaluate the impact of CT scans on classification reliability. Methods: This prospective observational study was conducted at B & B Hospital, Gwarko, Lalitpur, Nepal, over one year. A total of 45 skeletally mature patients with confirmed acetabular fractures were recruited. Six experienced pelvic surgeons were divided into three groups and independently classified each fracture using the L-J system based on plain radiographs, Judet views, and CT scans. Results: The mean age of participants was 36.75 years, with 86 % male representation. Fracture side distribution showed 46 % on the left and 54 % on the right. Interobserver reliability, assessed using Cohen's kappa coefficient, showed substantial agreement (k = 0.77) for most fracture types. Intraobserver repeatability also demonstrated substantial consistency among individual assessors over time. The evaluation of CT scans revealed insights into the reliability of the L-J classification system. Conclusion: This study enhances the understanding of the L-J classification's reliability for acetabular fractures, providing crucial information for its effective implementation in clinical practice. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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