Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower-limb closed fractures
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad del Valle
2014
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| _version_ | 1876447780847747072 |
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| author | Carlos Oliver Valderrama-Molina |
| author_facet | Carlos Oliver Valderrama-Molina |
| contents | Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower-limb closed fractures Carlos Oliver Valderrama-Molina Mauricio Estrada-Castrillón Jorge Andrés Hincapie Luz Helena Lugo-Agudelo Medicina reliability classification tibial fractures Soft tissue injury Background: The soft tissues injury in periarticular fractures of the lower extremities determines the proper time to perform bone fixation. Objective: The aim of this study was to determine the intra and interobserver agreement in the Tscherne classification. Methods: This is a descriptive, prospective study for patients admitted to the Pablo Tobón Uribe Hospital (PTUH) with tibial plateau or tibial pilon fractures. We performed a standardize evaluation using video photography at the time of admission and 24, 48, and 72 h after admission. Fifteen five reviewers who had various levels of training produced a total of 1,200 observations. The intraand interobserver agreement was assessed using a weighted kappa for multiple raters and more than two categories. Results: Twenty patients were admitted with tibial plateau and tibial pilon fractures. The intraobserver agreement for all 15 raters was kappa 0.81 (95% CI 0.79-0.83), and the interobserver agreement for all 15 raters was kappa 0.65 (95% CI 0.55-0.73). The interobserver agreement at 24 h was kappa 0.67 (95% CI 0.46-0.86). Conclusions: Classifying the severity of soft tissue injury is critical in planning the surgical management of fractures of the lower extremities. Based on our results, we can reasonably argue that the Tscherne classification produced an adequate level of agreement and could be used to standardize and to guide the treatment, and to conduct research studies. 2014 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28332886005 https://www.redalyc.org/journal/283/28332886005/ https://www.redalyc.org/journal/283/28332886005/html/ https://www.redalyc.org/journal/283/28332886005/28332886005.epub https://www.redalyc.org/journal/283/28332886005/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.45 |
| format | Artículo científico |
| id | redalyc_28332886005 |
| institution | Redalyc |
| language | en |
| publishDate | 2014 |
| publisher | Universidad del Valle |
| spellingShingle | Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower-limb closed fractures Carlos Oliver Valderrama-Molina Medicina reliability classification tibial fractures Soft tissue injury Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower-limb closed fractures Carlos Oliver Valderrama-Molina Mauricio Estrada-Castrillón Jorge Andrés Hincapie Luz Helena Lugo-Agudelo Medicina reliability classification tibial fractures Soft tissue injury Background: The soft tissues injury in periarticular fractures of the lower extremities determines the proper time to perform bone fixation. Objective: The aim of this study was to determine the intra and interobserver agreement in the Tscherne classification. Methods: This is a descriptive, prospective study for patients admitted to the Pablo Tobón Uribe Hospital (PTUH) with tibial plateau or tibial pilon fractures. We performed a standardize evaluation using video photography at the time of admission and 24, 48, and 72 h after admission. Fifteen five reviewers who had various levels of training produced a total of 1,200 observations. The intraand interobserver agreement was assessed using a weighted kappa for multiple raters and more than two categories. Results: Twenty patients were admitted with tibial plateau and tibial pilon fractures. The intraobserver agreement for all 15 raters was kappa 0.81 (95% CI 0.79-0.83), and the interobserver agreement for all 15 raters was kappa 0.65 (95% CI 0.55-0.73). The interobserver agreement at 24 h was kappa 0.67 (95% CI 0.46-0.86). Conclusions: Classifying the severity of soft tissue injury is critical in planning the surgical management of fractures of the lower extremities. Based on our results, we can reasonably argue that the Tscherne classification produced an adequate level of agreement and could be used to standardize and to guide the treatment, and to conduct research studies. 2014 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28332886005 https://www.redalyc.org/journal/283/28332886005/ https://www.redalyc.org/journal/283/28332886005/html/ https://www.redalyc.org/journal/283/28332886005/28332886005.epub https://www.redalyc.org/journal/283/28332886005/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.45 |
| title | Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower-limb closed fractures |
| topic | Medicina reliability classification tibial fractures Soft tissue injury |
| url | https://www.redalyc.org/articulo.oa?id=28332886005 https://www.redalyc.org/journal/283/28332886005/ https://www.redalyc.org/journal/283/28332886005/html/ https://www.redalyc.org/journal/283/28332886005/28332886005.epub https://www.redalyc.org/journal/283/28332886005/movil |