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    Interobserver and intraobserver reliability and validity of the Vancouver classification system of periprosthetic femoral fractures after hip arthroplasty.

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    Authors
    Naqvi, Gohar A
    Baig, Shakoor A
    Awan, Nasir
    Affiliation
    Department of Trauma and Orthopaedics, Our Lady of Lourdes Hospital, Drogheda, Co., Louth, Republic of Ireland.
    Issue Date
    2012-06
    MeSH
    Aged
    Aged, 80 and over
    Arthroplasty, Replacement, Hip
    Classification
    Female
    Femoral Fractures
    Femur
    Hip Joint
    Hip Prosthesis
    Humans
    Male
    Middle Aged
    Observer Variation
    Periprosthetic Fractures
    Reproducibility of Results
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    Citation
    Interobserver and intraobserver reliability and validity of the Vancouver classification system of periprosthetic femoral fractures after hip arthroplasty. 2012, 27 (6):1047-50 J Arthroplasty
    Journal
    The Journal of arthroplasty
    URI
    http://hdl.handle.net/10147/264914
    DOI
    10.1016/j.arth.2011.11.021
    PubMed ID
    22425302
    Abstract
    The Vancouver classification system of periprosthetic fractures has been revalidated in this study, using the radiographs of 45 patients. Three consultants and 3 trainees reviewed the radiographs independently, on 2 separate occasions, at least 2 weeks apart. Interobserver and intraobserver agreement and validity were analyzed, using weighted κ statistics. The mean κ value for interobserver agreement was found to be 0.69 (0.63-0.72) for consultants and 0.61 (0.56-0.65) for the trainees, both representing substantial agreement. Intraobserver κ values ranged from 0.74 to 0.90, showing substantial agreement. Validity analysis of 37 type B cases revealed 81% agreement within B1, B2, and B3 subgroups with a κ value of 0.68 (substantial agreement). This study has reconfirmed the reliability and validity of the Vancouver classification while it also emphasizes the intraoperative assessment of implant stability.
    Item Type
    Article
    Language
    en
    ISSN
    1532-8406
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.arth.2011.11.021
    Scopus Count
    Collections
    Our Lady of Lourdes Hospital

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