ArticleJournal of clinical medicine2023
Evaluation of Gartland Classification, Baumann Angle and Anterior Humeral Line in Paediatrics Supracondylar Fractures: An Inter and Intra-Observer Reliability Study.
Article in Journal of clinical medicine, 2023. 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.
- Pediatric supracondylar humeral fractures: Does pin and splint removal 3 weeks after surgery increase the risk of secondary displacement?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Temporal patterns of redisplacement risk following nonoperative treatment of pediatric supracondylar humeral fractures: A retrospective cohort study.Journal of children's orthopaedics · 2026Article
- Comparison of Usability of Sagittal Plane Parameters with Baumann Angle in Radiological Imaging of Supracondylar Humerus Fractures.Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Article
- A clinical study of percutaneous Kirschner wire fixation in pediatric supracondylar humeral fractures with medial column impaction: surgical technique and outcomes.Journal of orthopaedic surgery and research · 2025Article
- Modern Treatment of Supracondylar Humeral Fractures in Children.Children (Basel, Switzerland) · 2025Review
- Comparative Outcomes of Treatment Strategies for Traumatic Distal Humerus Physeal Separation in Children: A Systematic Review.Journal of clinical medicine · 2025Review
- Management of Pediatric Elbow Fractures and Dislocations.Children (Basel, Switzerland) · 2024Review
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7 authors.
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Abstract
Supracondylar fractures of the humerus are frequent paediatric injuries. The aims of this study were to evaluate the applicability and reproducibility of the Gartland and Wilkins classification, the Baumann angle (BA) and the Anterior Humeral Line (AHL). This retrospective monocentric observational study was conducted on 217 patients. Four observers assessed the pre-operative radiographs by applying the Gartland and Wilkins classification and the post-operative X-rays by measuring the BA and AHL. The kappa coefficient (K) and the Cohen's kappa were used for the reliability of the Gartland classification; the Intraclass Correlation Coefficient (ICC) for that of the BA. The AHL was evaluated in a double manner by using first the K and the Cohen's kappa and then the ICC. A total of 186 patients were eligible. Inter-observer reliability for the Gartland classification was K = 0.73-0.61 for type III, 0.65-0.61 for type Ia and 0.43-0.26 for type IIb. The Baumann angle mean value in the first data collection was 73.5 ± 6.85 (inter-observer ICC 0.74) and 72.9 ± 6.83 (inter-observer ICC 0.77) for the second data collection; AHL: inter-observer ICC 0.87 for the first evaluation and 0.80 for the second one. Gartland's classification modified by Wilkins has a high degree of reliability. BA and AHL appear reproducible and reliable.
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