Development and validation of a paediatric long-bone fracture classification : a prospective multicentre study in 13 European paediatric trauma centres
Background: The aim of this study was to develop a child-specific classification system for long bone fractures and to examine its reliability and validity on the basis of a prospective multicentre study. Methods: Using the sequentially developed classification system, three samples of between 30 and 185 paediatric limb fractures from a pool of 2308 fractures documented in two multicenter studies were analysed in a blinded fashion by eight orthopaedic surgeons, on a total of 5 occasions. Intra- and interobserver reliability and accuracy were calculated. Results: The reliability improved with successive simplification of the classification. The final version resulted in an overall interobserver agreement of kappa=0.71 with no significant difference between experienced and less experienced raters. Conclusions: In conclusion, the evaluation of the newly proposed classification system resulted in a reliable and routinely applicable system, for which training in its proper use may further improve the reliability. It can be recommended as a useful tool for clinical practice and offers the option for developing treatment recommendations and outcome predictions in the future.
|Author:||Dorien Schneidmüller, Christoph Röder, Ralf Kraus, Ingo Marzi, Martin Kaiser, Daniel Dietrich, Lutz von Laer|
|Date of Publication (online):||23.05.2011|
|Year of first Publication:||2011|
|Publishing Institution:||Univ.-Bibliothek Frankfurt am Main|
|Source:||BMC Musculoskeletal Disorders 2011, 12:89 ; doi:10.1186/1471-2474-12-89 ; http://www.biomedcentral.com/1471-2474/12/89/|
|Dewey Decimal Classification:||610 Medizin und Gesundheit|
© 2011 Schneidmüller et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
|Licence (German):||Creative Commons - Namensnennung 2.0|