Journal of Musculoskeletal Trauma

Original Articles

The Reliability of Proximal Femoral Shaft Fracture Classification: Sang Wook Lee, Sang Bong Ko, Myung Rae Cho, Ho Hyoung Lee; J Korean Fract Soc 2006;19(1):6-10. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.6

Abstract: PURPOSE
The Garden classification by which femur neck fracture is classified and the Boyd-Griffin classification by which trochanteric fracture is classified are studied on the reproducibility, repeatability, interobserver's and intraobserver's reliability and then reliability.
MATERIALS AND METHODS
56 cases in femoral neck fracture and 60 cases in trochanteric fracture who were operated from May 1999 to December 2003 were classified by three observers who are hip surgeon, orthopaedic surgeon and senior residentship doctors three times. Femur neck fracture was classified by Garden's method which used commonly and trochanteric fracture was classified by Boyd-Griffin method which is classified by the pattern of fracture and degree of comminution. We got the interobserver's and intraobserver's Kappa score using the Stata 7.0 statistically. The statistical analysis was made by Stata 7.0.
RESULTS
Garden classification in femur neck fracture showed moderate agreement in intraobserver reliability and fair agreement in interobserver reliability. Boyd-Griffin classification in trochanteric fracture showed substantial agreement in intraobserver reliability and moderate agreement in interobserver reliability.
CONCLUSION
Boyd-Griffin classification showed over moderate agreement but Garden classification showed fair agreement, so using Garden classification in femur neck fracture has some problem in reliability and application.

149 View
0 Download

Evaluation of Rotational Displacement of the Posterior Facet on the Sagittal Plane in Computed Tomographic Images of Calcaneal Fractures: Su Young Bae, Yi Kyoung Shin, Jong Oh Kim, Jung Hee Lee, Churl Woo Lee, Jae Hung Shin; J Korean Fract Soc 2005;18(2):165-169. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.165

PURPOSE
To find out whether or not the computed tomographic (CT) classification systems of the calcaneal fracture are efficient in illuminating displaced posterior facet fragment and the degree of displacement can be evaluated by analyzing serial CT images.
MATERIALS AND METHODS
Seventy-seven hundred calcaneal fractures were classified by CT classification systems including Sanders classification, and the sagittal rotation angle of the posteior facet fragment was measured on the plain lateral radiograph. Among the serial axial CT images, a number of images with the cortical bone embedded in the cancellous portion were recorded and any significant relationship between each data were evaluated.
RESULTS
The conventional CT classification systems are rather insufficient in illuminating the extent of sagittal rotatory displacement. However, the number of CT images in which the cortical radiodensity was observed showed a significantly related with the degree of displacement.
CONCLUSION
The conventional CT classification of the calcaneal fractures is unsatisfactory in expressing the degree of sagittal rotatory displacement of the posterior facet fragment; this problem may be alleviated by observing the number of axial CT images in which cortical radiodensity was revealed within the calcaneal body.

Citations

Citations to this article as recorded by

Tricortical-allobone Grafting in Screw Fixation for Intra-articular Calcaneal Fracture via Ollier Approach
Taejung Bang, Su-Young Bae, Seung Hun Woo, Hyung-Jin Chung
Journal of Korean Foot and Ankle Society.2017; 21(1): 27. CrossRef
The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
Kiwon Young, Jin Su Kim, Jinseon Moon
Journal of Korean Foot and Ankle Society.2014; 18(3): 119. CrossRef

155 View
0 Download
2 Crossref

First
Prev
Page of 1
Next
Last

Search