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The Buttazzoni Clas...
The Buttazzoni Classification of Distal Radial Fractures in Adults : interobserver and Intraobserver Reliability
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- Wadsten, Mats Å (författare)
- Department of Orthopaedic Surgery. Sundsvall Hospital
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- Sayed-Noor, Arkan S (författare)
- Department of Orthopaedic Surgery. Sundsvall Hospital
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- Sjödén, Göran O (författare)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap
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- Svensson, Olle (författare)
- Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap
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- Buttazzoni, Gunnar G (författare)
- Department of Orthopaedic Surgery. Östersund Hospital
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Department of Orthopaedic Surgery Sundsvall Hospital Institutionen för kirurgisk och perioperativ vetenskap (creator_code:org_t)
- 2009-01-27
- 2009
- Engelska.
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Ingår i: Hand. - : SAGE Publications. - 1558-9447 .- 1558-9455. ; 4:3, s. 283-288
- Relaterad länk:
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https://europepmc.or...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Despite the fact that distal radial fracture is the commonest fracture, there is a little evidence-based knowledge about the value of its classification to guide management and predict prognosis. The available classification systems are either complicated or weakly applicable in clinical practice. Older's classification is the most reliable, but does not cover all radial fracture types. We evaluated the interobserver and intraobserver reliability of a new classification system which is a modification of Older's classification covering all radial fracture types. Two hundred and thirty-two consecutive adult patients with acute distal radial fractures were blindly evaluated according to the new classification by three orthopedic surgeons twice with 1-year interval. The interobserver reliability was measured using the Fleiss kappa coefficient, and the intraobserver reliability was measured using the Cohen's kappa coefficient. The new classification showed fair to substantial interobserver and intraobserver reliability, i.e., results comparable to the reliability of commonly used classification systems. The reliability was better for younger patients and when evaluation was carried out by hand-surgery-interested orthopedic surgeons. The new classification system is simple, covers all radial fracture types, and has an acceptable reliability. Further studies are needed to judge its ability to direct management and predict prognosis.
Nyckelord
- Reliability
- Classification
- Distal radial fractures
- Kappa
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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