Reliability of interobserver and intraobserver assessments of the Tile versus Young-Burgess classifications for pelvic ring injuries

被引：0
作者：
Zhang, Ruipeng [1 ]
Hou, Xi [1 ,2 ]
Wang, Zhongzheng [1 ]
Tian, Siyu [1 ]
Li, Junran [3 ]
Li, Ligeng [3 ]
Hou, Zhiyong [1 ]
Zhang, Yingze [1 ]
机构：
[1] Hebei Med Univ, Hosp 3, Dept Orthopaed Surg, Shijiazhuang, Hebei, Peoples R China
[2] Orthopaed Res Inst Hebei Prov, Shijiazhuang, Hebei, Peoples R China
[3] Second Hosp Tangshan, Dept Orthopaed Surg, Tangshan, Hebei, Peoples R China
来源：
SCIENTIFIC REPORTS | 2024年 / 14卷 / 01期
基金：
中国国家自然科学基金;
关键词：
Pelvic injury; Classification; Tile; Young-Burgess; Reliability; Surgical strategy; FRACTURES; TRAUMA;
D O I：
10.1038/s41598-024-78604-y
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Tile and Young-Burgess classification systems have been widely used to classify pelvic ring injuries in clinical settings; however, these two systems are rarely mentioned in the literature despite their reproducibility and practical application. The purpose of this study was to assess the interobserver and intraobserver reliability of the Tile and Young-Burgess classification of pelvic ring injuries. Eight hundred seven patients with pelvic fractures who presented to two I-level trauma centres between January 2016 and June 2020 were recruited for this study. The anteroposterior, inlet, and outlet of the pelvis were observed on radiographic images, and CT scans were performed on each patient. The anteroposterior, inlet, and outlet of the pelvis were radiographed at each visit, and CT scans were performed. Four observers were recruited to classify the injury type according to the Young-Burgess and Tile classification systems. Interobserver and intraobserver reliability (kappa coefficient, kappa) were applied to assess the reproducibility of the two classification systems. A total of 174 patients (21.56%) could not be classified with the Young-Burgess classification, and all patients could be classified according to the Tile system. The mean kappa value of the interobserver reliability was 0.558 (range, 0.444 to 0.653) for the Tile classification, indicating moderate agreement, whereas the mean kappa value was 0.637 (range, 0.560 to 0.713), indicating substantial agreement, when the Young-Burgess classification was used. The mean kappa value for intraobserver reliability was 0.597 (range, 0.567 to 0.653) for the Tile classification and 0.776 (range, 0.748 to 0.803) for the Young-Burgess classification. More pelvic ring injuries could be classified with the Tile classification than could be classified with the Young-Burgess classification. However, the reproducibility of the Young-Burgess classification was greater than that of the Tile classification.
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页数：6
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共 25 条
  • [1] Berger-Groch J., Et al., The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma, Arch. Orthop. Trauma. Surg, 139, pp. 645-650, (2019)
  • [2] Buller L.T., Best M.J., Quinnan S.M., A nationwide analysis of pelvic ring fractures: Incidence and trends in treatment, length of stay, and mortality, Geriatr. Orthop. Surg. Rehabil, 7, pp. 9-17, (2016)
  • [3] Pereira G.J.C., Et al., Epidemiology of pelvic ring fractures and injuries, Rev. Bras. Ortop, 52, pp. 260-269, (2017)
  • [4] Kannus P., Parkkari J., Niemi S., Sievanen H., Low-trauma pelvic fractures in Elderly finns in 1970–2013, Calcif Tissue Int, 97, pp. 577-580, (2015)
  • [5] Koo H., Et al., Interobserver reliability of the young-burgess and tile classification systems for fractures of the pelvic ring, J. Orthop. Trauma, 22, pp. 379-384, (2008)
  • [6] Rommens P.M., Hofmann A., Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment, Injury, 44, pp. 1733-1744, (2013)
  • [7] Coccolini F., Et al., Pelvic trauma: WSES classification and guidelines, World J. Emerg. Surg, 12, (2017)
  • [8] Resnik C.S., Stackhouse D.J., Shanmuganathan K., Young J.W., Diagnosis of pelvic fractures in patients with acute pelvic trauma efficacy of plain radiographs, AJR Am. J. Roentgenol, 158, pp. 109-112, (1992)
  • [9] Langford J.R., Burgess A.R., Liporace F.A., Haidukewych G.J., Pelvic fractures: Part 1. Evaluation, classification, and resuscitation, J. Am. Acad. Orthop. Surg, 21, pp. 448-457, (2013)
  • [10] Alton T.B., Gee A.O., Classifications in brief: Young and burgess classification of pelvic ring injuries, Clin. Orthop. Relat. Res, 472, pp. 2338-2342, (2014)
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