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Reliability of Gordon Lateral Rotation Percentage and Prabhakar Percentage of Metaphyseal Overhang for Pediatric Supracondylar Humerus Fracture; Is it Clinically Reliable for John Hopkins Classification Coronal Fracture Subtypes?

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dc.contributor.authorBEKİROĞLU, GÜLNAZ NURAL
dc.contributor.authorsŞahbat Y., Bekiroğlu G. N., Çat G., Gündoğdu M., Onay T., Akgülle A. H.
dc.date.accessioned2023-10-10T07:48:47Z
dc.date.available2023-10-10T07:48:47Z
dc.date.issued2023-11-01
dc.description.abstractTRAUMAReliability of Gordon Lateral Rotation Percentage and Prabhakar Percentage of Metaphyseal Overhang for Pediatric Supracondylar Humerus Fracture; Is it Clinically Reliable for John Hopkins Classification Coronal Fracture Subtypes?Şahbat, Yavuz MD*; Bekiroğlu, Gülnaz Nural PhD†; Çat, Görkem MD*; Gündoğdu, Mert MD*; Ağirdil, Yücel MD*; Çayir, Hüseyin PhD‡; Onay, Tolga MD§; Akgülle, Ahmet Hamdi MD*Author InformationJournal of Pediatric Orthopaedics43(10):p 603-607, November/December 2023.|DOI:10.1097/BPO.0000000000002512MetricsAbstractBackground:Rotational malalignment is a common problem in pediatric supracondylar humerus fractures (SCHF). Several techniques have been described to evaluate the true rotation value. Although the Prabhakar and Gordon techniques are used frequently, their superiority to each other in terms of measurement quality is unknown.Questions/Purposes:The aim of this study was to investigate the clinical compatibility of the 2 techniques and to evaluate whether they are suitable for all subtypes.Methods:This cross-sectional study included 40 patients with SCHF (including subtypes; Typical, Medial Oblique, Lateral Oblique, and High fracture pattern). The Gordon lateral rotation percentage and Prabhakar percentage of metaphyseal overhang were measured twice by 4 experienced Orthopedics and Traumatology surgeons at 8-week intervals. The interobserver and intraobserver reliability were examined using the intraclass correlation coefficient.Results:The interobserver reliability for Gordon and Prabhakar technique was 0.816 and 0.762 for the first measurement and 0.811 and 0.811 for the second measurement, respectively.The medial oblique fracture pattern was determined to have the best interobserver agreement among the subtypes. The result was excellent for the medial and lateral oblique subtypes, good for the typical fracture pattern, and fair for the high fracture pattern. The intraobserver reliability for Gordon and Prabhakar technique was excellent, 0.924 and 0.922, respectively.Conclusion:The main finding of this study was that the Gordon and Prabhakar techniques have similar interobserver and intraobserver reliability. Although the Gordon technique tends to have higher interobserver reliability, the difference was clinically insignificant. These measurements should not be relied upon in cases of SCHF with a high fracture pattern because of the different anatomic features of that region.
dc.identifier.citationŞahbat Y., Bekiroğlu G. N., Çat G., Gündoğdu M., Onay T., Akgülle A. H., "Reliability of Gordon Lateral Rotation Percentage and Prabhakar Percentage of Metaphyseal Overhang for Pediatric Supracondylar Humerus Fracture; Is it Clinically Reliable for John Hopkins Classification Coronal Fracture Subtypes? ", JOURNAL OF PEDIATRIC ORTHOPAEDICS, cilt.43, sa.10, ss.603-607, 2023
dc.identifier.doi10.1097/bpo.0000000000002512
dc.identifier.endpage607
dc.identifier.issn0271-6798
dc.identifier.issue10
dc.identifier.startpage603
dc.identifier.urihttps://journals.lww.com/pedorthopaedics/fulltext/2023/11000/reliability_of_gordon_lateral_rotation_percentage.4.aspx
dc.identifier.urihttps://hdl.handle.net/11424/294333
dc.identifier.volume43
dc.relation.ispartofJOURNAL OF PEDIATRIC ORTHOPAEDICS
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectOrtopedi ve Travmatoloji
dc.subjectSağlık Bilimleri
dc.subjectTemel Tıp Bilimleri
dc.subjectBiyoistatistik ve Tıp Bilişimi
dc.subjectMedicine
dc.subjectSurgery Medicine Sciences
dc.subjectOrthopedics and Traumatology
dc.subjectHealth Sciences
dc.subjectFundamental Medical Sciences
dc.subjectBiostatistics and Medical Informatics
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectCERRAHİ
dc.subjectTIBBİ BİLİŞİM
dc.subjectORTOPEDİ
dc.subjectTIP, GENEL & DAHİLİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectSURGERY
dc.subjectMEDICAL INFORMATICS
dc.subjectORTHOPEDICS
dc.subjectMEDICINE, GENERAL & INTERNAL
dc.subjectAyak Bakımı
dc.subjectGenel Sağlık Meslekleri
dc.subjectPatofizyoloji
dc.subjectTemel Bilgi ve Beceriler
dc.subjectDeğerlendirme ve Teşhis
dc.subjectCerrahi
dc.subjectOrtopedi ve Spor Hekimliği
dc.subjectDahiliye
dc.subjectTıbbi Bilişim
dc.subjectAile Sağlığı
dc.subjectTıp (çeşitli)
dc.subjectGenel Tıp
dc.subjectPodiatry
dc.subjectGeneral Health Professions
dc.subjectPathophysiology
dc.subjectFundamentals and Skills
dc.subjectAssessment and Diagnosis
dc.subjectSurgery
dc.subjectOrthopedics and Sports Medicine
dc.subjectInternal Medicine
dc.subjectHealth Informatics
dc.subjectFamily Practice
dc.subjectMedicine (miscellaneous)
dc.subjectGeneral Medicine
dc.titleReliability of Gordon Lateral Rotation Percentage and Prabhakar Percentage of Metaphyseal Overhang for Pediatric Supracondylar Humerus Fracture; Is it Clinically Reliable for John Hopkins Classification Coronal Fracture Subtypes?
dc.typearticle
dspace.entity.typePublication
local.avesis.id092b319a-fe44-437b-9bf6-9369f1d1cd48
relation.isAuthorOfPublication9d562d76-b085-41e7-87b1-114fae3720d0
relation.isAuthorOfPublication.latestForDiscovery9d562d76-b085-41e7-87b1-114fae3720d0

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