Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Classification of hip fractures

H De Boeck1

  • 1Department of Orthopedic Surgery and Traumatology, University Hospital V.U.B., Brussels, Belgium.

Acta Orthopaedica Belgica
|January 1, 1994
PubMed
Summary

Orthopaedic surgeons find current hip fracture classifications inconsistent. While classifications are vital for research, a universally accepted system for hip fractures is lacking, leading to observer variability.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Characterisation of Staphylococcus aureus isolates from bloodstream infections, Democratic Republic of the Congo.

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology·2017
Same author

Staphylococcus aureus nasal carriage among healthcare workers in Kisangani, the Democratic Republic of the Congo.

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology·2015
Same author

Epidemic increase in Salmonella bloodstream infection in children, Bwamanda, the Democratic Republic of Congo.

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology·2013
Same author

Presence of extended-spectrum beta-lactamase-producing Enterobacteriaceae in waste waters, Kinshasa, the Democratic Republic of the Congo.

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology·2012
Same author

[Tietze's syndrome in a 2-year old boy].

Nederlands tijdschrift voor geneeskunde·2003
Same author

Traumatic bowing of children's forearm bones: an unreported association with fracture of the distal metaphysis.

The Journal of trauma·2001

Area of Science:

  • Orthopaedic Surgery
  • Traumatology

Background:

  • Multiple hip fracture classification systems exist in medical literature.
  • Assessing the utility of these classifications among Belgian orthopaedic and general surgeons was the focus.
  • Garden's classification is the most commonly used for subcapital fractures.

Purpose of the Study:

  • To evaluate the practical application and perceived necessity of hip fracture classification systems.
  • To identify surgeon preferences for classifying different types of hip fractures.
  • To assess the interobserver reliability of a widely used classification system.

Main Methods:

  • A survey was distributed to Belgian orthopaedic and general surgeons regarding hip fracture classification.
  • Surgeons expressed preferences for simple anatomic identification over complex systems for certain fracture types.
  • Radiographs of five hip fractures were independently classified by ten surgeons using the AO Classification system.

Main Results:

  • A significant majority (89.4%) deemed fracture classifications necessary for clinical research.
  • However, no single classification system is universally adopted or accepted.
  • Simple anatomic identification was preferred for intertrochanteric (64.9%) and subtrochanteric (78.7%) fractures.
  • The AO Classification system demonstrated poor interobserver reliability, with no fracture being classified identically by all ten observers.

Conclusions:

  • Existing hip fracture classification systems exhibit significant interobserver variability, hindering consistent application.
  • While essential for research, the lack of a universally accepted system complicates clinical practice and communication.
  • Further development of reliable and standardized hip fracture classification is warranted.

Related Experiment Videos