Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children
Purpose. To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. Methods. Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2007-04-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949900701500104 |
| _version_ | 1811337963435458560 |
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| author | J Heal M Bould J Livingstone N Blewitt AW Blom |
| author_facet | J Heal M Bould J Livingstone N Blewitt AW Blom |
| author_sort | J Heal |
| collection | DOAJ |
| description | Purpose. To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. Methods. Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4 orthopaedic surgeons according to the Wilkins modification of the Gartland classification. Data were analysed by calculating the Kappa values for intra- and inter-observer agreement to indicate the reproducibility of the classification. Results. There was moderate inter-observer agreement, except for poor agreement over type I fractures. Type II fractures only showed fair to moderate agreement. Type III fractures and the flexion group showed good to very good agreement. Intra-observer agreement was good to very good. Conclusion. Surgeons should treat paediatric supracondylar humeral fractures based on an assessment of the degree of displacement rather than by employing the Gartland classification. |
| first_indexed | 2024-04-13T18:03:39Z |
| format | Article |
| id | doaj.art-79d83beec8894f29b038f30143b26782 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-04-13T18:03:39Z |
| publishDate | 2007-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-79d83beec8894f29b038f30143b267822022-12-22T02:36:09ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902007-04-011510.1177/230949900701500104Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in ChildrenJ HealM BouldJ LivingstoneN BlewittAW BlomPurpose. To evaluate the intra- and inter-observer reproducibility of the Gartland radiographic classification for supracondylar humeral fractures in children. Methods. Anteroposterior and lateral radiographs of 50 supracondylar humeral fractures in children were graded on 2 separate occasions by 4 orthopaedic surgeons according to the Wilkins modification of the Gartland classification. Data were analysed by calculating the Kappa values for intra- and inter-observer agreement to indicate the reproducibility of the classification. Results. There was moderate inter-observer agreement, except for poor agreement over type I fractures. Type II fractures only showed fair to moderate agreement. Type III fractures and the flexion group showed good to very good agreement. Intra-observer agreement was good to very good. Conclusion. Surgeons should treat paediatric supracondylar humeral fractures based on an assessment of the degree of displacement rather than by employing the Gartland classification.https://doi.org/10.1177/230949900701500104 |
| spellingShingle | J Heal M Bould J Livingstone N Blewitt AW Blom Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children Journal of Orthopaedic Surgery |
| title | Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children |
| title_full | Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children |
| title_fullStr | Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children |
| title_full_unstemmed | Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children |
| title_short | Reproducibility of the Gartland Classification for Supracondylar Humeral Fractures in Children |
| title_sort | reproducibility of the gartland classification for supracondylar humeral fractures in children |
| url | https://doi.org/10.1177/230949900701500104 |
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