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股骨颈骨折的Garden分型。观察者间差异评估。

Garden's classification of femoral neck fractures. An assessment of inter-observer variation.

作者信息

Frandsen P A, Andersen E, Madsen F, Skjødt T

机构信息

Department of Orthopaedic Surgery, Esbjerg Central Hospital, Denmark.

出版信息

J Bone Joint Surg Br. 1988 Aug;70(4):588-90. doi: 10.1302/0301-620X.70B4.3403602.

DOI:10.1302/0301-620X.70B4.3403602
PMID:3403602
Abstract

Radiographs of 100 randomly chosen femoral neck fractures were assessed by eight observers using Garden's classification. The radiographs were classified identically by all eight in only 22 cases. Another 45 cases were classified by some observers as undisplaced fractures (Stages 1 and 2) and by others as displaced fractures (Stages 3 and 4). Between the different observers the number of displaced fractures varied from 63 to 89. These results show that observers had a relatively poor ability to delineate the various stages of Garden's classification.

摘要

八名观察者使用Garden分型法对随机选取的100例股骨颈骨折的X线片进行评估。在这100例中,只有22例的X线片被所有八名观察者给出了相同的分型。另外45例,一些观察者将其分类为无移位骨折(1期和2期),而另一些观察者则将其分类为移位骨折(3期和4期)。不同观察者之间,移位骨折的数量从63例到89例不等。这些结果表明,观察者对Garden分型各阶段的区分能力相对较差。

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