Abstract：
BACKGROUND:The Garden classification is used to classify intracapsular proximal femur fractures. The reliability of this classification is poor and several authors advise a simplified classification of intracapsular hip fractures into non-displaced and displaced fractures. However, this proposed simplified classification has never been tested for its reliability. HYPOTHESIS:We estimate simplifying the classification of femoral neck fractures will lead to a higher inter-observer agreement. MATERIALS AND METHODS:Ten observers, trauma surgeons and residents, from two different institutes classified 100 intracapsular femoral neck fractures. The inter-observer agreements were calculated using the multi-rater Fleiss' kappa. RESULTS:The inter-observer kappa for the Garden classification was 0.31. An agreement of κ0.52 was observed if the Garden classification was simplified and the fractures were classified by our observers as 'non-displaced' or 'displaced'. No difference in reliability was seen for the use of the four-grade Garden classification as well as the simplified classification between trauma surgeons and residents. DISCUSSION:Classification of intracapsular hip fractures according to the four-grade Garden classification is unreliable. The reliability of classification improves when the Garden classification is simplified in a classification using the terms: 'non-displaced' or 'displaced'. LEVEL OF EVIDENCE:Level IV. Diagnostic retrospective study.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Van Embden D,Rhemrev SJ,Genelin F,Meylaerts SA,Roukema GRdoi
10.1016/j.otsr.2012.02.003subject
Has Abstractpub_date
2012-06-01 00:00:00pages
405-8issue
4issn
1877-0568pii
S1877-0568(12)00057-6journal_volume
98pub_type
杂志文章abstract：INTRODUCTION:The aim of this study was to identify points on the scapula that can be used to predict the anatomy of the native premorbid glenoid. MATERIAL AND METHODS:Forty-three normal scapulas reconstructed in 3D and positioned in a common coordinate system were used. Twenty points distributed over the blade of the ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.10.024
更新日期：2019-04-01 00:00:00
abstract：:We report the case of a 37-year-old patient presenting with knee pain and recurrent effusion without instability due to an intra-articular hemangioma in the posterior compartment of the knee. MRI showed features suggesting a diagnosis of hemangioma. Arthroscopic excision of the tumor was performed and the diagnosis wa...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2013.12.027
更新日期：2014-06-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2016.06.021
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abstract：BACKGROUND:Heterotopic ossification (HO) is a common complication of elbow fracture surgery that can significantly impair function and range of motion (ROM). Whereas numerous studies have assessed HO after hip trauma or replacement surgery, few data have been reported on the prevalence and risk factors of HO after elbo...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.10.021
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abstract：:An anterior approach to the lumbar spine is increasingly used in performing fusion. Depending on the level to be treated, several approaches have been developed to deal with the anatomic obstacles encountered: pure anterior, oblique anterior or lateral, and trans- or pre-psoas. Conventional techniques incur risk of mu...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2019.05.024
更新日期：2020-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.02.026
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To compare the outcomes of minimally invasive percutaneous short-segment pedicle instrumentation (SSPI) with that of trans-spatium intermuscular SSPI on thoracolumbar mono-segmental vertebral fracture without neurological compromise. METHODS:A total of 39 patients with thoracolumbar mono-segmental vertebral ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2012.12.020
更新日期：2013-06-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.07.009
更新日期：2009-11-01 00:00:00
abstract：:Current knowledge of the causes and risk factors of Legg-Calvé-Perthesdisease (LCPD) does not allow effective preventive strategies. The outcome in adulthood is usually good. Hip osteoarthritis rarely develops before 50 years of age. The risk of osteoarthrosis depends chiefly on the final degree of joint incongruence....
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2017.04.012
更新日期：2018-02-01 00:00:00
abstract：:Burnout corresponds to a state of exhaustion (emotional, physical, mental) that can result in complete psychological and/or physical breakdown. Burnout is a result of how our society has evolved. A recent phenomenon, it affects all strata of society, all corporations, and all countries. Physicians are not immune to it...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2019.04.029
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION:Shoulder surgery has been rapidly expanding over the past 20 years and now makes up a large share of orthopedic surgery practice. Data on how this activity has changed is not available in France due to a lack of registries. The study objectives were to: (1) quantify the number of shoulder surgeries in Fran...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.04.019
更新日期：2020-10-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.03.020
更新日期：2014-09-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,多中心研究
doi：10.1016/j.otsr.2013.09.007
更新日期：2014-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.03.020
更新日期：2017-10-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.08.011
更新日期：2017-12-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2021.102825
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.01.016
更新日期：2015-06-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.07.007
更新日期：2017-11-01 00:00:00
abstract：UNLABELLED:Increasingly frequent periprosthetic fractures are affecting the elderly; this patients group often suffers from significant co-morbidities that make it particularly difficult to manage these already complex injuries. The classic pitfalls of conservative treatment are many, including infections, pseudarthros...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.09.017
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:The use of an anatomic cementless stem in hemiarthroplasties for femoral intracapsular proximal fracture has been debated, notably because of bone weakness and/or morphological defects related to osteoporosis. We therefore conducted a retrospective study in subjects over 75 years of age who had received an a...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.05.013
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:An infected non-union is a major complication following bone fracture. While bone union can be obtained in 70% to 100% of cases, treatment of osteomyelitis is less predictable, with reported healing rates ranging from 40% to 100%. The primary aim of this study was to assess the success rate of treating inf...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2017.10.014
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Endoscopic piriformis release (EPR) is among the available treatments for piriformis syndrome. This procedure typically involves dividing the muscle near the sciatic nerve in the sub-gluteal space, which contains numerous blood vessels and nerves. The objectives of this prospective cadaver study were: 1) to ...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.02.018
更新日期：2018-12-01 00:00:00
abstract：INTRODUCTION:The clinical diagnosis of the anterior cruciate ligament (ACL) tear is based on demonstrating anterior subluxation of the tibia on the femur. In any of the following perspectives, diagnostic (cutoff value confirming rupture), prognostic (treatment efficacy), and therapeutic (laxity influencing the treatmen...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2010.08.004
更新日期：2011-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.05.017
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:Fractures of the distal radius only rarely give rise to complications in the immediate postoperative period. Combined median and ulnar nerve palsy is a complication that can be missed by the surgeon. MATERIALS AND METHODS:Three cases diagnosed early after surgery are reported here. The patients were 15, 16,...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.04.026
更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:Chronic scapholunate instability can lead to functional deficits and radiocarpal osteoarthritis. A number of procedures, namely scapho-trapezio-trapezoid (STT) fusion, scaphocapitate (SC) fusion or soft tissue reconstruction procedures, aim to improve function while protecting the wrist from osteoarthritis...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2010.11.006
更新日期：2011-04-01 00:00:00
abstract：:With the development of conservative hip surgery techniques, new entities such as microinstability have been identified. Microinstability is a painful supra-physiological mobility of the hip. It results from the association of architectural and functional abnormalities impairing joint stability. These risk factors con...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2016.09.002
更新日期：2016-12-01 00:00:00
abstract：INTRODUCTION:Implant fixation assessment following Vancouver B1 periprosthetic hip fracture is a major decision factor for internal fixation and/or implant revision. The main aim of the present study was to assess the correlation between radiographic Remaining Attachment Index (RAI) and risk of implant loosening at las...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2020.06.016
更新日期：2020-11-01 00:00:00
