$distal radius fracture classification$

$distal radius fracture classification$

DISTAL RADIUS FRACTURE CLASSIFICATION REGISTRATION

In the SFR, the classification of fractures is made according to the AO/OTA (2007 version), since it is comprehensive and designed to have a similar structure for all the bones in the body. As a result the majority of fractures in the SFR are primarily registered by junior residents at the A&E, with limited time and no specific training in fracture classification. Data collection is web based and filed by the attending orthopaedic surgeon. Since the start in 2011, more than 490,000 fractures have been registered with their fracture classification, subsequent treatment(s) and outcome. The Swedish Fracture Register (SFR) is a unique national quality register where all orthopaedic fractures, regardless of treatment, are registered. Each of these classification systems has a different focus, but none has shown superiority over the others regarding classification reliability. There are numerous classification systems for the classification of DRF, of which Frykman, Fernandez, Universal, Melone, Mayo and AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) are the most commonly used. Fracture classification is also a prerequisite for data collection in national quality registers and for clinical research. The reliable classification of fractures is important, as classification provides a framework for communicating effectively on clinical cases. Although the degree of accuracy for DRF appears to be lower than for other fracture locations, the accuracy shown in the current study is similar to that in previous studies of DRF.ĭistal radial fractures (DRF) are one of the most common fractures with a small peak in incidence among young males and an increasing incidence with age among women. The study shows moderate accuracy in the classification of DRF in the SFR. Intra-observer agreement ranged from kappa 0.52–0.70 for the AO/OTA subgroup/group and kappa 0.71–0.76 for the AO/OTA type. Inter-observer agreement ranged from kappa 0.22–0.48 for the AO/OTA subgroup/group and kappa 0.48–0.76 for the AO/OTA type. The accuracy of the classification of DRF in the SFR was kappa = 0.41 (0.31–0.51) for the AO/OTA subgroup/group and kappa = 0.48 (0.36–0.61) for the AO/OTA type. Inter- and intra-observer agreement was evaluated and the degree of agreement was calculated as Cohen’s kappa. The accuracy of the classification in the SFR was defined as the agreement between the gold standard classification and the classification in the SFR. The classification the reference group agreed on was regarded as the gold standard classification for each fracture. MethodsĪ reference group of three experienced orthopaedic trauma surgeons classified 128 DRFs, randomly retrieved from the SFR, at two classification sessions 6 weeks apart.

DISTAL RADIUS FRACTURE CLASSIFICATION REGISTRATION

This study aims to assess the accuracy of the registration of DRF in adults in the SFR as it is carried out in clinical practice. Previous studies regarding the classification of distal radial fractures (DRF) have shown difficulties in inter- and intra-observer agreement.

$distal radius fracture classification$

The attending physician classifies the fracture according to the AO/OTA classification upon registration in the SFR.

$distal radius fracture classification$

Since its inception in 2011, the Swedish Fracture Register (SFR) has collected data on more than 490,000 fractures. Distal radial fractures (DRF) are one of the most common fractures with a small peak in incidence among young males and an increasing incidence with age among women.

$distal radius fracture classification$

Distal radius fracture classification