Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children

Gheldere, Antoine de; Legname, M.; Leyder, Mina; Mezzadri, G.; Docquier, Pierre-Louis

doi:10.1016/j.otsr.2010.03.021

Cited by 17 publications

(16 citation statements)

References 12 publications

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“…The classification of L&R is much less studied, which reflects the comparatively wider use of the Gartland classification. Nevertheless, the results obtained are similar to those of de Gheldere et al, 16 who obtained an intra and interobserver variation of 0.76 and 0.69, respectively.…”

Section: Discussionsupporting

confidence: 90%

Classification of Pediatric Supracondylar Fractures: Comparison between the Gartland and the Lagrange & Rigault Classifications

Grazina

Oliveira

Marinhas

et al. 2018

Rev Iberoam Cir Mano

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Background The supracondylar fracture of the humerus is one of the most common fractures in pediatric age. Many classifications were proposed, with Gartland being the most widely used one and Lagrange and Rigault (L&R) the most used in French-speaking countries. Objectives The goal of this study was to compare the Wilkins-modified Gartland classification with the L&R classification in terms of reproducibility. Methods Three observers with similar training levels classified 35 fractures according to both classifications twice to evaluate both intra and interobserver variation. Results The mean intraobserver variation was 0.78 and 0.77 for Gartland and L&R classifications, respectively, and the mean interobserver variation was 0.55 and 0.62 for Gartland and L&R classifications, respectively. Conclusions Both classifications reveal adequate to usage in clinical and investigational practices, which is consistent with the literature.

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Section: Discussionsupporting

confidence: 90%

Classification of Pediatric Supracondylar Fractures: Comparison between the Gartland and the Lagrange & Rigault Classifications

Grazina

Oliveira

Marinhas

et al. 2018

Rev Iberoam Cir Mano

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“…They found intraobserver reliability to be 0.76 and interobserver reliability was 0.69, similar to data for the Gartland classification [11].…”

Section: Reliabilitysupporting

confidence: 72%

“…De Gheldere et al [11] evaluated the reliability of the Lagrange and Rigault classification with 100 supracondylar humerus fractures and five different observers on two separate occasions. They found intraobserver reliability to be 0.76 and interobserver reliability was 0.69, similar to data for the Gartland classification [11].…”

Section: Reliabilitymentioning

confidence: 99%

Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

Alton

Werner

Gee

2015

Clinical Orthopaedics &Amp; Related Research

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“…15,33 However, the Gartland classification exhibits only fair to moderate intraobserver reliability, with 10% of repeat readings by the same observer yielding a different classification. [34][35][36][37] Preferred treatment recommendations based only on Gartland classification differed between surgeons in 35% of patients. 35 Treatment recommendations based solely on Gartland and other classification systems are imprecise; therefore, a call has been made for additional considerations when making treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

“…35 Treatment recommendations based solely on Gartland and other classification systems are imprecise; therefore, a call has been made for additional considerations when making treatment decisions. [34][35][36][37] Identifying significant risk factors for the occurrence, true severity, and complications of pediatric supracondylar fractures may aid clinicians in making treatment decisions. The current sample size and single institution population may also somewhat limit this study; however, they provided the authors with the ability to collect all necessary data for each patient, including unlimited access to all follow-ups that occurred.…”

Section: Discussionmentioning

confidence: 99%

Patient Demographics and Risk Factors in Pediatric Distal Humeral Supracondylar Fractures

Mitchelson¹,

Illingworth²,

Robinson³

et al. 2013

Orthopedics

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The literature on distal humeral supracondylar fractures does not systematically define relationships between patient characteristics and the severity or complications of these injuries. This study evaluated age, sex, height, and body mass index (BMI) in relation to fracture severity and posttreatment complications in a pediatric population. The medical records of 382 pediatric patients treated for distal humeral supracondylar fractures over a 5-year period at 1 institution were included. Variables included age, sex, height, weight, injury mechanism, fracture severity (Gartland Classification), treatment, follow-up duration, and treatment complications. Body mass index and BMI-for-age percentile were calculated. Descriptive statistics with univariate analyses and logistic regression analysis with odds ratios and 95% confidence intervals were used. Children sustaining Gartland type 3 fractures were significantly older and taller than those sustaining Gartland type 1 and 2 fractures. No significant difference existed in fracture occurrence between boys and girls. Fracture severity did not differ significantly due to sex, BMI, or BMI-for-age percentile. Severe fractures were associated with increased posttreatment complications. Complication rates did not vary significantly by age, sex, height, BMI, or BMI-for-age. Taller children aged 5 to 6 years were at the greatest risk for Gartland type 3 distal humeral supracondylar fractures. Severe fractures are associated with an increased complication risk. Sex, BMI, and BMI-for-age percentile had no effect on fracture severity or complication rates.

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Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children

Abstract: The study shows good intra- and interobserver reliability. The Lagrange and Rigault classification has similar reliability to other supracondylar fracture classifications.

Cited by 17 publications

References 12 publications

Classification of Pediatric Supracondylar Fractures: Comparison between the Gartland and the Lagrange & Rigault Classifications

Classification of Pediatric Supracondylar Fractures: Comparison between the Gartland and the Lagrange & Rigault Classifications

Classifications In Brief: The Gartland Classification of Supracondylar Humerus Fractures

Patient Demographics and Risk Factors in Pediatric Distal Humeral Supracondylar Fractures

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