Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1386
11
1
gregorian
2008
2
1
21
4
online
1
fulltext
en
The interobserver and intraobserver reliability of the Fernandez classification of distal radius fracture
Hand Surgery
Hand Surgery
Original Research
Original Research
<p> <strong>Abstract</strong></p><p> <strong>Background:</strong> With increasing knowledge concerning fractures of the distal radius, different classifications have been proposed. Reliability of most of these classifications has been assessed. The Fernandez classification has never been assessed for intraobserver and interobserver reliability, although this classification is commonly used.</p><p> <strong>Methods:</strong> Five observers including one attending orthopaedic hand surgeon, one hand surgery fellow, two attending orthopaedic surgeons and one senior resident of orthopaedic surgery classified 42 standard anteroposterior and lateral radiographs of prereduction distal radius fractures. Four weeks later the radiographs were renumbered differently and reviewed and classified by the same observers. Reliability of classification was assessed by Kappa value.</p><p> <strong>Results:</strong> The mean intraobserver Kappa value was 0.64 (0.53-0.73), indicating good or substantial reliability, while the mean interobserver reliability was 0.45(0.30- 0.71) representing moderate reliability.</p><p> <strong>Conclusion:</strong> In contrast to previous classifications of distal radius fracture, which their intraobserver and interobserver reliabilities were poor or moderate in most studies, the Fernandez classification has good intraobserver reliability and moderate interobserver reliability, so it can be used by orthopaedic surgeons with more confidence.</p>
distal radius fracture, Fernandez classification, reliability
223
226
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-193&slc_lang=en&sid=1
Dawood
Jafari
20031947532846002238
20031947532846002238
No
Iran University of Medical Sciences
Hamid
Taheri
20031947532846002239
20031947532846002239
No
Iran University of Medical Sciences
Hooman
Shariatzadeh
20031947532846002240
20031947532846002240
No
Iran University of Medical Sciences
Farid
Najd Mazhar
najdmazhar@yahoo.ca
20031947532846002241
20031947532846002241
Yes
Department of Hand Surgery, Shafa Yahyaiyan Rehabilitation Center, Baharestan Square.Mojahedin-e-Islam Avenue, Tehran, Iran
Marzieh
Nojomi
20031947532846002242
20031947532846002242
No
Iran University of Medical Sciences