ArticleAdvances in orthopedics2014
The reliability of classifications of proximal femoral fractures with 3-dimensional computed tomography: the new concept of comprehensive classification.
Article in Advances in orthopedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Inter- and Intra-Observer Reliability of the New Comprehensive Classification of Intertrochanteric Fracture of the Femur.International journal of general medicine · 2025Article
- Analysis of Potential Risk Factors for Cement Leakage into Paraspinal Veins after Vertebroplasty for Acute Osteoporotic Vertebral Fractures Based on a 3D Reconstruction Technique: A Retrospective Matched Case-Control Study.Orthopaedic surgery · 2023Article
- Characteristics and Treatment Strategies for Basicervical and Transcervical Shear Fractures of the Femoral Neck.Journal of clinical medicine · 2023Article
- [Effectiveness validation of a novel comprehensive classification for intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- What is the most fixable intramedullary implant for basicervical fracture and transcervical shear fracture? - A finite element study.Journal of clinical orthopaedics and trauma · 2022Article
- Incidence and Clinical Outcomes of Hip Fractures Involving Both the Subcapital Area and the Trochanteric or Subtrochanteric Area.Advances in orthopedics · 2019Article
- The choice of internal fixator for fractures around the femoral trochanter depends on area classification.SpringerPlus · 2016Article
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Authors and funding
12 authors.
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Abstract
The reliability of proximal femoral fracture classifications using 3DCT was evaluated, and a comprehensive "area classification" was developed. Eleven orthopedists (5-26 years from graduation) classified 27 proximal femoral fractures at one hospital from June 2013 to July 2014 based on preoperative images. Various classifications were compared to "area classification." In "area classification," the proximal femur is divided into 4 areas with 3 boundary lines: Line-1 is the center of the neck, Line-2 is the border between the neck and the trochanteric zone, and Line-3 links the inferior borders of the greater and lesser trochanters. A fracture only in the first area was classified as a pure first area fracture; one in the first and second area was classified as a 1-2 type fracture. In the same way, fractures were classified as pure 2, 3-4, 1-2-3, and so on. "Area classification" reliability was highest when orthopedists with varying experience classified proximal femoral fractures using 3DCT. Other classifications cannot classify proximal femoral fractures if they exceed each classification's particular zones. However, fractures that exceed the target zones are "dangerous" fractures. "Area classification" can classify such fractures, and it is therefore useful for selecting osteosynthesis methods.
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