AO group, AO subgroup, Garden and Pauwels classification systems of femoral neck fractures: Are they reliable and reproducible? (CROSBI ID 186499)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Gašpar, Drago ; Crnković, Tomislav ; Đurović, Dražen ; Podsednik, Dinko ; Slišurić, Ferdinand
engleski
AO group, AO subgroup, Garden and Pauwels classification systems of femoral neck fractures: Are they reliable and reproducible?
Aim To determine which of the classification systems for the femoral neck fracture between AO group, AO subgroup, Garden and Pauwels is much more reliable and reproducible to predict a method of treatment, radiological prediction of nonunion and prediction of outcomes. Methods Five observers classified 77 randomly selected anterior- posterior (AP) and lateral view preoperative radiographs of the femoral neck fractures according to AO group, AO subgroup, Garden and Pauwels classification systems. The procedure was repeated on the same radiographs after three months. First classification is used to calculate interobserver agreement by kappa value between observers, while the first and second classification has served to calculate intraobserver kappa value for each examiner. Results Overall mean for classification system for interobserver agreement is: AO 0.44, AO subgroup 0.17, Garden 0.41 and Pauwels 0.19. Mean intraobserver agreement for AO group was 0.56, AO subgroup 0.38, Garden 0.49 and Pauwels 0.38 coefficient kappa value. Conclusion Garden and AO group are useful for the division of femoral neck fractures without displacement and with displacement, but they are not for clinical use. AO subgroup and Pauwels classification are not recommended for further use.
trauma ; hip fracture ; classification systems
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
nije evidentirano
Podaci o izdanju
9 (2)
2012.
243-247
objavljeno
1840-0132
1840-2445
Povezanost rada
Kliničke medicinske znanosti