Application of Three-Dimensional Computed Tomography Improved the Interrater Reliability of the AO/OTA Classification Decision in a Patellar Fracture
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Byun, Seong-Eun | - |
dc.contributor.author | Shon, Oog-Jin | - |
dc.contributor.author | Sim, Jae-Ang | - |
dc.contributor.author | Joo, Yong-Bum | - |
dc.contributor.author | Kim, Ji-Wan | - |
dc.contributor.author | Na, Young-Gon | - |
dc.contributor.author | Choi, Wonchul | - |
dc.date.accessioned | 2021-08-13T14:40:59Z | - |
dc.date.available | 2021-08-13T14:40:59Z | - |
dc.date.created | 2021-08-13 | - |
dc.date.issued | 2021-08 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81871 | - |
dc.description.abstract | We investigated whether interrater reliabilities of the AO/OTA classification of patellar fracture change with the imaging modalities applied, including plain radiography and two- and three-dimensional (2-D and 3-D) computed tomography (CT). Seven orthopedic specialists and four orthopedic residents completed a survey of 50 patellar fractures to classify the fractures according to the AO/OTA classification for patellar fractures. Initially, the survey was conducted using plain radiography only, then with 2-D CT introduced three weeks later and 3-D CT introduced six weeks later. Fleiss' Kappa coefficients were calculated to determine interrater reliability. The overall interrater reliability of the AO/OTA classifications was 0.40 (95% CI, 0.38-0.42) with plain radiography only and 0.43 (95% CI, 0.41-0.45) with the addition of 2-D CT. With the addition of 3-D CT, the reliability was significantly improved to 0.54 (95% CI, 0.52-0.56). In specialists, interrater reliability of the classifications was moderate with all three imaging modalities. With the use of 3-D CT, interrater reliability of the classification was 0.53 (95% CI, 0.50-0.56), which was significantly higher than that with the use of 2-D CT (kappa = 0.45; 95% CI, 0.42-0.48). In residents, interrater reliability of the classification was 0.30 (95% CI, 0.24-0.36) with plain radiography. The reliability improved to 0.49 (95% CI, 0.43-0.56) with the addition of 2-D CT, which was significantly higher than that with plain radiography only. The use of 3-D CT imaging improved interrater reliability of the classification. Therefore, surgeons, especially residents, may benefit from using 3-D CT imaging for classifying and planning the treatment of patellar fractures. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.title | Application of Three-Dimensional Computed Tomography Improved the Interrater Reliability of the AO/OTA Classification Decision in a Patellar Fracture | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000682029200001 | - |
dc.identifier.doi | 10.3390/jcm10153256 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, v.10, no.15 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85114064964 | - |
dc.citation.title | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.volume | 10 | - |
dc.citation.number | 15 | - |
dc.contributor.affiliatedAuthor | Sim, Jae-Ang | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | patella | - |
dc.subject.keywordAuthor | patellar fracture | - |
dc.subject.keywordAuthor | interrater reliability | - |
dc.subject.keywordAuthor | AO | - |
dc.subject.keywordAuthor | OTA classification | - |
dc.subject.keywordAuthor | three-dimensional computed tomography | - |
dc.subject.keywordAuthor | 3-D CT | - |
dc.subject.keywordPlus | OPERATIVE TREATMENT | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | FIXATION | - |
dc.subject.keywordPlus | SYSTEMS | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.