- Title
- An interobserver reliability comparison between the Orthopaedic Trauma Association's open fracture classification and the Gustilo and Anderson classification
- Creator
- Ghoshal, A.; Enninghorst, N.; Sisak, K.; Balogh, Z. J.
- Relation
- Bone and Joint Journal Vol. 100B, Issue 2, p. 242-246
- Publisher Link
- http://dx.doi.org/10.1302/0301-620X.100B2.BJJ-2017-0367.R1
- Publisher
- British Editorial Society of Bone and Joint Surgery
- Resource Type
- journal article
- Date
- 2018
- Description
- Aims: To evaluate interobserver reliability of the Orthopaedic Trauma Association’s open fracture classification system (OTA-OFC). Patients and Methods: Patients of any age with a first presentation of an open long bone fracture were included. Standard radiographs, wound photographs, and a short clinical description were given to eight orthopaedic surgeons, who independently evaluated the injury using both the Gustilo and Anderson (GA) and OTA-OFC classifications. The responses were compared for variability using Cohen’s kappa. Results: The overall interobserver agreement was ĸ = 0.44 for the GA classification and ĸ = 0.49 for OTA-OFC, which reflects moderate agreement (0.41 to 0.60) for both classifications. The agreement in the five categories of OTA-OFC was: for skin, ĸ = 0.55 (moderate); for muscle, ĸ = 0.44 (moderate); for arterial injury, ĸ = 0.74 (substantial); for contamination, ĸ = 0.35 (fair); and for bone loss, ĸ = 0.41 (moderate). Conclusion: Although the OTA-OFC, with similar interobserver agreement to GA, offers a more detailed description of open fractures, further development may be needed to make it a reliable and robust tool.
- Subject
- trauma; open fractures; fracture; fracture classification
- Identifier
- http://hdl.handle.net/1959.13/1466159
- Identifier
- uon:47458
- Identifier
- ISSN:2049-4394
- Language
- eng
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