CME OnDemand: 2022 AOFAS Annual Meeting-Shortcomings of Posterior Malleolus Fractures Classifications: A Independent Inter and Intra-Rater Agreement Study was Proposed

Shortcomings of Posterior Malleolus Fractures Classifications: A Independent Inter and Intra-Rater Agreement Study was Proposed

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Video Transcription

Video Summary

In this video, Jefet Masri discusses the shortcomings of posterior malleolus fracture classifications and presents the results of an independent agreement study. Posterior malleolus fractures are common in ankle fractures and can lead to poor functional outcomes. Masri explains the existing classification systems by Haraguchi, Bartonichek and Rammelt, and Mason. He states that current classifications lack complete reporting of agreement and reliability. The study involved three orthopedic surgeons and three orthopedic residents evaluating CT scans of 94 ankle fractures. The intra-observer agreement was substantial, but the inter-observer agreement was only moderate. Masri suggests the need for a new classification system that improves reproducibility and aids in treatment and prognosis.

Asset Subtitle

Jafet Massri-Pugin, MD, Sergio Morales, Pablo Mery, MD, Cristián A. Ruz, Agustin Vial Wood, Joaquin Palma, MD, and Andres Villa, MD

Keywords

Jefet Masri

posterior malleolus fracture classifications

independent agreement study

ankle fractures

functional outcomes