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Reprodutibilidade das classificações de Tronzo e AO para fraturas transtrocanterianas

Authors: Mattos, Carlos Augusto; Jesus, Alexandre Atsushi Koza; Floter, Michelle dos Santos; Nunes, Luccas Franco Bettencourt; Sanches, Bárbara de Baptista; Zabeu, José Luís Amim;

Reprodutibilidade das classificações de Tronzo e AO para fraturas transtrocanterianas

Abstract

ResumoObjetivoAnalisar a reprodutibilidade das classificações AO e de Tronzo para fraturas transtrocanterianas.MétodoEstudo transversal que analisou a concordância entre duas leituras feitas por 11 observadores, intraobservadores e interobservadores. A análise das variações usou o método estatístico Kappa.ResultadosVerificou‐se concordância moderada para a classificação AO enquanto a classificação Tronzo mostrou concordância leve.ConclusãoO trabalho evidenciou maior reprodutibilidade da classificação AO/Asif inter e intraobservador para as fraturas transtrocanterianas de fêmur, o que tem relação com o aumento da predominância de concordância com a experiência dos observadores. A classificação AO/Asif sem divisão em subgrupos mostrou‐se, assim como descrito na literatura, aceita para o uso clínico nas fraturas transtrocanterianas de fêmur. No entanto, não mostrou concordância absoluta, uma vez que seu nível de concordância é apenas moderado, mas superior quando comparada com a classificação Tronzo.AbstractObjectiveTo analyze the reproducibility of the Tronzo and AO classifications for transtrochanteric fractures.MethodThis was a cross‐sectional study in which the intraobserver and interobserver concordance between two readings made by 11 observers was analyzed. The analysis of the variations used the kappa statistical method.ResultsModerate concordance was found in relation to the AO classification, while slight concordance was found for the Tronzo classification.ConclusionThis study found that the AO/Asif classification for transtrochanteric presented greater intra and interobserver reproducibility and that greater concordance was correlated with greater experience of the observers. Without division into subgroups, the AO/Asif classification was shown, as described in the literature, to be acceptable for clinical use in relation to transtrochanteric fractures of the femur, although it did not show absolute concordance, given that its concordance level was only moderate. Nonetheless, its concordance was better than that of the Tronzo classification.

Keywords

Orthopedic surgery, Fraturas do quadril, Reprodutibilidade dos testes, R, Fraturas do colo femoral/classificação, Femoral neck fractures/classification, Reprodutibilidade dos testes., Hip fractures, Medicine, Surgery, Test reproducibility, RD701-811

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Average
Average
Average
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gold