Evidence map›Paper›PMID 35361094›Full record

ArticleJoint diseases and related surgery2022

The intra- and interobserver reliability of five commonly used intertrochanteric femur fracture classification systems.

Cem Yıldırım, Osman Görkem Muratoğlu, Kaya Turan, Tugrul Ergün, Abdulhamit Mısır, Mahmud Aydın

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Article in Joint diseases and related surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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3 · Its place in the literature

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6 citing papers in PubMed.

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  2. Review
  3. Article
  4. Article
  5. Article
  6. [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 · 2023
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5 · Who and what money

Authors and funding

6 authors.

Cem Yıldırım
Osman Görkem Muratoğluİstinye Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 34010 Zeytinburnu, İstanbul, Türkiye. osman.muratoglu@istinye.edu.tr.
Kaya Turan
Tugrul Ergün
Abdulhamit Mısır
Mahmud Aydın

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to evaluate the effect of surgical experience on reliability for Boyd-Griffin, Evans/Jensen, Evans, Orthopaedic Trauma Association (main and subgroups), and Tronzo classification systems. PATIENTS AND

methodsBetween January 2013 and December 2014, radiological images of a total of 60 patients (13 males, 47 females; mean age: 78.9±21.9 years; range, 61 to 96 years) with the diagnosis of intertrochanteric femur fracture were analyzed. Radiographs were evaluated and classified by five residents and five orthopedics and traumatology surgeons according to the Evans, Boyd-Griffin, Evans/Jensen, OTA, and Tronzo classification systems. Intra- and interobserver reliability were calculated using the kappa statistics.

resultsThe worst intraobserver compatibility among the residents was the classification system with OTA subgroups (κ=0.516), while the classification system with the best intraobserver fit was found to be OTA main groups (κ=0.744). The worst agreement among surgeons was in the Evans classification system (κ=0.456). However, the best intraobserver agreement was in the OTA main groups (κ=0.741). The best interobserver agreement was observed regarding the OTA main groups (κ=0.699).

conclusionThe classification that has the best harmony both among residents and surgeons, and between residents and surgeons is the OTA main group classification.

Indexed as

Hip FracturesTraumatologyAgedAged, 80 and overFemaleFemurHumansMaleMiddle AgedObserver VariationReproducibility of Results

Identifiers

PMID35361094
PMCPMC9057552

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