Modhia U M, Dickens A J, Glezos C D, Gehlert R J, DeCoster T A
University of New Mexico Department of Or thopaedics and Rehabilitation Albuquerque, NM.
Virginia Commonwealth University School of Medicine Richmond, VA.
Iowa Orthop J. 2014;34:50-4.
The OTA Fracture Classification is designed to provide a common language and facilitate effective communication among orthopaedic surgeons. We attempted to measure the degree to which this classification is currently being utilized in orthopaedic trauma literature.
We reviewed all of the articles in the JOT in 2011. We determined which of these articles could have appropriately utilized the 2007 OTA Classification. We calculated the percentage that mentioned and correctly cited this classification system as a reference.
There were 145 articles in 2011. One hundred of these articles were appropriate for classifying a fracture. 38% of these articles utilized the OTA classification in the text. Only 42% of articles mentioning the OTA Classification cited a reference. 38% of these citations used the old (1996) OTA Classification reference, and only 8% overall correctly cited the 2007 OTA Classification reference. 51% of articles mentioned some other classification system; 21 in addition to OTA and 30 instead of the OTA classification.
The OTA Fracture Classification is being used more commonly (38%) but is not routinely used or correctly cited (8%) in articles currently being published in the Journal of Orthopaedic Trauma, despite the fact that it is "required" according to the instructions to authors. We conclude that future authors should utilize and correctly reference the 2007 OTA Classification so that the benefits of a common language can be realized. Routine and consistent utilization of the classification may ultimately lead to more consistency and improved interpretability of treatment outcomes in published orthopaedic trauma research.
Level-III case-control study, decision analysis.
OTA骨折分类旨在提供一种通用语言，促进骨科医生之间的有效沟通。我们试图衡量该分类目前在骨科创伤文献中的使用程度。
我们回顾了2011年《骨科创伤杂志》（JOT）上的所有文章。我们确定其中哪些文章可以适当地使用2007年OTA分类。我们计算了提及并正确引用该分类系统作为参考文献的文章所占的百分比。
2011年有145篇文章。其中100篇文章适合对骨折进行分类。这些文章中有38%在文中使用了OTA分类。提及OTA分类的文章中只有42%引用了参考文献。这些引用中有38%使用的是旧的（1996年）OTA分类参考文献，总体上只有8%正确引用了2007年OTA分类参考文献。51%的文章提到了其他一些分类系统；除OTA外还有21种，另外有30种使用的不是OTA分类。
尽管根据作者须知“要求”使用OTA骨折分类，但在目前发表于《骨科创伤杂志》的文章中，该分类的使用更为普遍（38%），但未被常规使用或正确引用（8%）。我们得出结论，未来的作者应使用并正确引用2007年OTA分类，以便实现通用语言的益处。该分类的常规和一致使用最终可能会使已发表的骨科创伤研究中治疗结果的一致性更高，可解释性更强。
III级病例对照研究，决策分析。
