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Fiabilité d’une classification de Garden simplifiée pour les fractures intracapsulaires du col fémoral
- Source :
- Revue de Chirurgie Orthopédique et Traumatologique. 98:360-361
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
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Abstract
- 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.
Details
- ISSN :
- 18770517
- Volume :
- 98
- Database :
- OpenAIRE
- Journal :
- Revue de Chirurgie Orthopédique et Traumatologique
- Accession number :
- edsair.doi...........841ca8dbcaadd22dc262d0ea478a51c9