Purpose A four-column classification system offers a differ- showed the highest intra and inter-observer agreement. ent way of evaluating tibial plateau fractures. The aim of this When taking into account the agreement that occurs by study is to compare the intra-observer and inter-observer reli- chance, Schatzker classification showed the highest inter- ability between four-column and classic classifications. observer kappa, but again the four-column had the highest Methods This is a reliability study, which included pa- intra-observer kappa value. The proposed classification is tients presenting with tibial plateau fractures between a more inclusive classification for the posteromedial and January 2013 and September 2015 in a level-1 trauma posterolateral fractures. We suggest, therefore, that it be centre. Four orthopaedic surgeons blindly classified each used in addition to one of the classic classifications in fracture according to four different classifications: AO, order to better understand the fracture pattern, as it allows Schatzker, Duparc and four-column. Kappa, intra- more attention to be paid to the posterior columns, it im- observer and inter-observer concordance were calculated proves the surgical planning and allows the surgical ap- for the reliability analysis. proach to be chosen more accurately. Results Forty-nine patients were included. The mean age was
International Orthopaedics – Springer Journals
Published: Jul 7, 2017
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