Tibia Plateau Fractures Inter Observer Reliability Analysis Between Orthopedics and Traumatology Residents and Specialist Physicians According to Schatzker and AO / OTA classification systems

Öz

ABSTRACT

Purpose: The aim of this study was to investigate the reliability  of the Schatzker and AO / OTA classifications between Orthopedics and Traumatology specialists and residents.

Material methods: Twelve observers, six of them Orthopedics and Traumatology residents, six of them Orthopedics and Traumatology specialist were participated to the study. 60 tibial plateau fractures radiographs were sent via e-mail to the observers. They were asked to classify anteroposterior and lateral radiographs according to Schatzker and AO / OTA classification systems.

Results: In this study according to Schatzker and AO / OTA classifications reliability, only the Schatzker classification was observed to be moderate among the Orthopedics and Traumatology specialist. The AO / OTA classification was found to be fair reliability among the specialist physicians, residents and all physicians.

Conclusion: Schatzker classification system compared with the AO / OTA classification system, it is observed that the interobserver consistency is higher.

Anahtar Kelimeler

• Tibial plateau fractures,AO / OTA classification system,Schatzker classification system

Tibia Plato Kırıklarında Schatzker ve AO / OTA sınıflandırma sistemlerine göre Ortopedi ve Travmatoloji Asistan ve Uzman Hekimler Arasındaki Güvenirlik Analizi

Öz

ÖZET

Amaç: Bu çalışmadaki amacımız Schatzker ve AO / OTA sınıflamalarının Ortopedi ve Travmatoloji uzmanları ve asistanları arasındaki güvenilirliği incelemektir.

Gereç yöntem: Çalışmaya altısı Ortopedi ve Travmatoloji asistanı, altısı ise Ortopedi ve Travmatoloji uzmanı olmak üzere oniki gözlemci katıldı. Gözlemcilerden elektronik posta yoluyla gönderilen 60 tibia plato kırığı olan hastanın anteroposterior ve lateral radyografilerinin bulunduğu standart formları Schatzker ve AO / OTA sınıflandırma sistemlerine göre sınıflamaları istendi.

Bulgular: Bu çalışmada Schatzker ve AO / OTA sınıflandırmalarına göre yapılan gözlemciler arası uyumda sadece Schatzker sınıflaması uzman hekimler tarafından değerlendirildiğinde gözlemciler arası uyumun orta düzeyde olduğu olduğu görülmüştür. AO / OTA sınıflamasının uzman hekimler arası, asistan hekimler arası ve tüm hekimler arasında uyumunun düşük düzeyde kaldığı görülmüştür.

Sonuç: Schatzker sınıflandırma sistemi AO / OTA sınıflandırma sistemi ile karşılaştırıldığında gözlemciler arası uyumunun daha yüksek olduğu görülmektedir.

Anahtar Kelimeler

• Tibia plato kırıkları,AO / OTA sınıflaması,Schatzker sınıflaması

Kaynakça

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