Development and validation of a paediatric long-bone fracture classification. A prospective multicentre study in 13 European paediatric trauma centres

Schneidmüller, Dorien; Röder, Christoph; Kraus, Ralf; Marzi, Ingo; Kaiser, Martin; Dietrich, Daniel J.; von Laer, Lutz (2011). Development and validation of a paediatric long-bone fracture classification. A prospective multicentre study in 13 European paediatric trauma centres. BMC musculoskeletal disorders, 12(1), p. 89. London: BioMed Central 10.1186/1471-2474-12-89

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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 κ = 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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery

UniBE Contributor:

Röder, Christoph and Dietrich, Daniel J.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-2474

Publisher:

BioMed Central

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:19

Last Modified:

29 Oct 2019 13:18

Publisher DOI:

10.1186/1471-2474-12-89

PubMed ID:

21548939

Web of Science ID:

000290813200001

BORIS DOI:

10.7892/boris.5914

URI:

https://boris.unibe.ch/id/eprint/5914 (FactScience: 210793)

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