Lagrange 和 Rigault 分类系统评估儿童伸直型肱骨髁上骨折的可靠性。
Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children.
机构信息
Brabois Children's Hospital, Nancy Teaching Medical Center, Pediatric Orthopaedic Surgery Department, rue du Morvan, 54500 Vandœuvre-lès-Nancy, France.
出版信息
Orthop Traumatol Surg Res. 2010 Oct;96(6):652-5. doi: 10.1016/j.otsr.2010.03.021. Epub 2010 Aug 8.
INTRODUCTION
The Lagrange and Rigault classification was designed to describe extension-type supracondylar fractures of the humerus. It can also help in treatment decision-making.
HYPOTHESIS
The reliability of this classification has not yet been proven. The goal of this study was to assess this system's intra- and interobserver reliability.
METHODS
One hundred supracondylar fracture radiographs were randomly retrieved and reviewed by five different observers on two occasions in a different order. The kappa index was used to calculate the intra- and interobserver reliability.
RESULTS
Intraobserver reliability was 0.76 and interobserver reliability was 0.69.
DISCUSSION
The study shows good intra- and interobserver reliability. The Lagrange and Rigault classification has similar reliability to other supracondylar fracture classifications.
简介
拉格朗日和里戈ault 分类法旨在描述肱骨的伸展型髁上骨折。它也有助于治疗决策。
假设
该分类法的可靠性尚未得到证实。本研究的目的是评估该系统的内部和观察者间可靠性。
方法
随机检索 100 例髁上骨折 X 线片，并由 5 名不同观察者在两次不同的时间以不同的顺序进行回顾。使用κ指数来计算内部和观察者间的可靠性。
结果
观察者内可靠性为 0.76，观察者间可靠性为 0.69。
讨论
该研究表明观察者内和观察者间的可靠性良好。拉格朗日和里戈ault 分类法与其他髁上骨折分类法具有相似的可靠性。
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