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Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower - limb closed fractures / Mauricio Estrada Castrillón ; Carlos Oliver Valderrama Molina    

Público ISBD Título : Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower - limb closed fractures Otros títulos : Condordancia intra e interobservador de la clasificación de Oestern y Tscherne para lesiones de tejidos blandos en fracturas cerradas periarticulares del miembro inferior Tipo de documento : documento electrónico Autores : Mauricio Estrada Castrillón, ; Carlos Oliver Valderrama Molina, Fecha de publicación : 2014 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Soft tissue injuries  classification  tibial fractures  Reliability Resumen : Background: The soft tissues injury in periarticular fractures of the lower extremities determines the proper time to perform bone fixation. Objetive: 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. Level of Evidence: Level IV, Case Series Mención de responsabilidad : Carlos Oliver Valderrama-Molina, Mauricio Estrada-Castrillón, Jorge Andrés Hincapie, Luz Helena Lugo-Agudelo Referencia : Colomb Med (Cali). 2014 Dec 30;45(4):173-8. DOI (Digital Object Identifier) : 10.25100/cm.v45i4.1476 PMID : 25767306 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1476 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3780 Intra- and interobserver agreement on the Oestern and Tscherne classification of soft tissue injury in periarticular lower - limb closed fractures = Condordancia intra e interobservador de la clasificación de Oestern y Tscherne para lesiones de tejidos blandos en fracturas cerradas periarticulares del miembro inferior [documento electrónico] / Mauricio Estrada Castrillón, ; Carlos Oliver Valderrama Molina,  . - 2014. Obra : Colombia Médica Idioma : Inglés (eng) Palabras clave : Soft tissue injuries  classification  tibial fractures  Reliability Resumen : Background: The soft tissues injury in periarticular fractures of the lower extremities determines the proper time to perform bone fixation. Objetive: 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. Level of Evidence: Level IV, Case Series Mención de responsabilidad : Carlos Oliver Valderrama-Molina, Mauricio Estrada-Castrillón, Jorge Andrés Hincapie, Luz Helena Lugo-Agudelo Referencia : Colomb Med (Cali). 2014 Dec 30;45(4):173-8. DOI (Digital Object Identifier) : 10.25100/cm.v45i4.1476 PMID : 25767306 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1476 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3780

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