Interobserver Reliability of a CT-Based Fracture Classification System

Abstract

The results indicate that in a carefully controlled paradigm, the interobserver reliability with a classification system based on interpretation of a single, carefully defined CT image was no better than the results reported for the same classification system used with full CT data or for other classification systems used for various fractures in the skeleton. Agreement in identifying the location of the fracture lines was very good for simple fractures but much worse for complex injuries. Additional study may determine whether the use of a full complement of CT images can improve reliability in classification of complex injuries.

Post-traumatic subtalar osteoarthritis: which grading system should we use?

“…We used observers with different levels of experience in the assessment of calcaneal fractures in both clinical and research context. Earlier studies have shown that the level of experience of the observers, and the complexity of the classification system, do not usually affect inter-observer reliability [27]. Our study will help guide future researchers in their choice of grading system when reporting on posttraumatic subtalar osteoarthritis, and assist in the comparison of different treatment modalities for calcaneal fractures.…”

Outcome of Internal Fixation of Comminuted Calcaneum Fractures

“…It is difficult to compare outcome between studies since different measures of outcome are often used and there is no consensus among surgeons as to which is the most scientific and practical system. Although classifications show positive correlation with outcome,there is no correlation with choice of treatment 21,22 . In our study we have used Essex-Lopresti and Sander"s classification.…”

Effect of Three-Dimensional Computed Tomography Reconstructions on Reliability of Classification of Calcaneal Fractures

“…Humphrey et al 9 evaluated whether a limitation of the available CT data may lead to better inter-and intraobserver reliability when classifying calcaneal fractures with the Sanders system. In their study, fracture classification was performed on the basis of a single carefully defined CT cut.…”