Fiabilité d’une classification de Garden simplifiée pour les fractures intracapsulaires du col fémoral - 02/06/12
, S.J. Rhemrev a, F. Genelin b, S.A.G. Meylaerts a, G.R. Roukema c
Auteur correspondant. Medisch Centrum Haaglanden, Lijnbaan 32, 2512 VA Den Haag, Postbus 432, 2501 CK Den Haag, The Netherlands.Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
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Summary |
Background |
The Garden classification is used to classify intracapsular proximal femur fractures. The reliability of this classification is poor and several authors advise a simplified classification of intracapsular hip fractures into non-displaced and displaced fractures. However, this proposed simplified classification has never been tested for its reliability.
Hypothesis |
We estimate simplifying the classification of femoral neck fractures will lead to a higher inter-observer agreement.
Materials and Methods |
Ten observers, trauma surgeons and residents, from two different institutes classified 100 intracapsular femoral neck fractures. The inter-observer agreements were calculated using the multi-rater Fleiss’ kappa.
Results |
The inter-observer kappa for the Garden classification was 0.31. An agreement of κ0.52 was observed if the Garden classification was simplified and the fractures were classified by our observers as ‘non-displaced’ or ‘displaced’. No difference in reliability was seen for the use of the four-grade Garden classification as well as the simplified classification between trauma surgeons and residents.
Discussion |
Classification of intracapsular hip fractures according to the four-grade Garden classification is unreliable. The reliability of classification improves when the Garden classification is simplified in a classification using the terms: ‘non-displaced’ or ‘displaced’.
Level of evidence |
Level IV. Diagnostic retrospective study.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Hip fracture, Femoral neck fracture, Fracture classification
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 | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 98 - N° 4
P. 360-361 - giugno 2012 Ritorno al numero
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