一个新的分类系统的间和内观测者可靠性为骨断裂Malunions:ADEINS分类分类
Rajiv Shah1, Siddhartha Sharma2, Rajeev Vohra3
1Foot & Ankle Orthopaedics, Sunshine Global Hospital, Vadodara, Gujarat India.
Indian journal of orthopaedics
|November 27, 2023
概括
新的ADEINS分类对状联体的分类在观察者中显示出良好的可靠性. 这种基于疼痛发生器的系统提供了一个用户友好的方法来分类复杂的脚和脚伤害.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚重建 脚和脚重建
- 创伤学 创伤学 创伤学
背景情况:
- 目前的骨联分类 (斯蒂芬斯,桑德斯,兹维普,拉梅尔特) 由于其解剖学重点而存在局限性.
- 这些系统并不能完全解决涉及骨和软组织的错误结合的复杂性.
- 为了克服这些局限性,开发了一种基于疼痛发生器的新型分类,ADEINS.
研究的目的:
- 引入新型的ADEINS分类系统,用于关节的恶性结合.
- 评估ADEINS分类的观察者间和观察者内部可靠性.
- 评估新系统的用户友好性和临床适用性.
主要方法:
- 对患有创伤后骨干恶性结合症的成年患者进行了回顾性队列研究.
- 三位经验丰富的足外科医生接受了ADEINS系统 (关节炎,形,外,植入物问题,神经问题,软组织问题) 的培训.
- 在两轮分类中,使用Gwet的AC系数评估了分级间和分级内部的可靠性.
主要成果:
- 在ADEINS分类中,在所有六个领域中都显示出"非常好的"评级者间协议.
- 观察者内部的协议在四个领域是"非常好的",在两个领域是"公平的".
- 该系统成功地分类了现有解剖学分类所不涵盖的病例.
结论:
- 基于疼痛发生器的ADEINS分类表现出良好的观察者内部和观察者之间的可靠性.
- 在ADEINS系统似乎用户友好,用于分类形结.
- 在广泛的临床采用之前,建议在更大的多中心研究中进一步验证.
相关概念视频
01:18Classification of Bones
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The long...
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The long...
01:20Structural Classification of Joints
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
A fibrous joint is where the adjacent bones are united by fibrous connective...