Carlos Oliver Valderrama-Molina1, Mauricio Estrada-Castrillón2, Jorge Andrés Hincapie3, Luz Helena Lugo-Agudelo3. 1. Hospital Pablo Tobón Uribe, Medellín, Colombia ; Universidad de Antioquia, Medicine School, Rehabilitation in Health Group, Medellín, Colombia ; Universidad de Antioquia, Medicine School, Clinical Epidemiology Academic Group, Medellín, Colombia. 2. Hospital Pablo Tobón Uribe, Medellín, Colombia. 3. Universidad de Antioquia, Medicine School, Rehabilitation in Health Group, Medellín, Colombia ; Universidad de Antioquia, Medicine School, Clinical Epidemiology Academic Group, Medellín, Colombia.
Abstract
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 intra- and 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.
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 intra- and 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.
Authors: Kenneth A Egol; Nirmal C Tejwani; Edward L Capla; Philip L Wolinsky; Kenneth J Koval Journal: J Orthop Trauma Date: 2005-08 Impact factor: 2.512
Authors: Henry Koo; Mike Leveridge; Charles Thompson; Rad Zdero; Mohit Bhandari; Hans J Kreder; David Stephen; Michael D McKee; Emil H Schemitsch Journal: J Orthop Trauma Date: 2008-07 Impact factor: 2.512
Authors: Aresh Sepehri; Gerard P Slobogean; Nathan N O'Hara; Phillip McKegg; Joshua Rudnicki; Jared Atchison; Robert V O'Toole; Marcus F Sciadini; Christopher T LeBrun; Jason W Nascone; Aaron J Johnson; Ida Leah Gitajn; Jonathan T Elliott; John A Scolaro; Raymond A Pensy Journal: J Orthop Trauma Date: 2021-12-01 Impact factor: 2.512
Authors: Vinícius Alexandre de Souza Almeida; Carlos Henrique Fernandes; João Baptista Gomes Dos Santos; Francisco Alberto Schwarz-Fernandes; Flavio Faloppa; Walter Manna Albertoni Journal: Rev Bras Ortop Date: 2017-12-12