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Re: ortho classifications
послал David Nelson, MD 24 Сентябрь 2004, 23:56
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This is a great topic for discussion. The AO classification has the advantage of being universal, that is, it can be applied to all
fractures. It has the disadvantages of being not applicable to all fractures (), because it does not address specific issues with each fracture, and has been found in many studies to be non-reproducible, that is, inter- and intra-observer repeatability is poor.
It would be a great thesis topic. Many scholars have tried to address this, without success. For instance, the Internation Federation of Societies for Surgery of the Hand examined distal radial fractures, to determine if a current system was best, and if not, could they create one. They had some great minds in the study. Their conclusion (see http://www.eRadius.com, click on What's New, then scroll down to Feb 2, 2002, and just below is a link to IFSSH's review of distal radius classifications http://www.eradius.com/IFSSH_Classification_D1.htm).
David Nelson, MD
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