TY - JOUR AU - Paula Neto, Antonio Candido de AU - Ikeuti, Douglas Hideki AU - Santos, Augusto Braga dos AU - Barroco, Rui dos Santos AU - Miranda, Bruno Rodrigues de AU - Macedo, Rafael da Rocha PY - 2019/03/31 Y2 - 2024/03/28 TI - Concordance analysis of adult ankle fracture classifications JF - Scientific Journal of the Foot & Ankle JA - Sci J Foot Ankle VL - 13 IS - 1 SE - Original Articles DO - 10.30795/scijfootankle.2019.v13.885 UR - https://jfootankle.com/ScientificJournalFootAnkle/article/view/885 SP - 10-14 AB - <p><strong>Objective</strong>: To analyze the interobserver agreement among physicians in an orthopedy and traumatology service with knowledge and training in adult ankle fracture classifications through radiographic evaluation.&nbsp;<strong>Methods</strong>: A cross-sectional study was carried out in which the records of 20 patients with a diagnosis of ankle fracture in 2016 (uni-, bi- or trimalleolar), aged older than 18 years or with a closed physis, were studied. The radiographs that met the criteria were analyzed and classified according to the Danis Weber (DW), Lauge-Hansen (LH) and Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classifications by two first-year residents, two second-year residents, two third-year residents and two preceptors of the service. The conditions were identical for the observers and were performed individually once. The Kappa coefficient (K) was used to assess agreement.&nbsp;<strong>Results</strong>: The results showed great interobserver agreement in the DW and LH classifications, with K values equal to 0.69 and 0.64, respectively. The AO/OTA classification showed moderate agreement, with K = 0.47.&nbsp;<strong>Conclusion</strong>: The DW classification was the most reliable among the three classifications. The AO/OTA classification showed the lowest agreement and was the least reliable, and the LH classification was in between the others.&nbsp;<em><strong>Level of Evidence III, Diagnostic Studies; Study of non consecutive patients; without consistently applied reference “gold” standard.</strong></em></p> ER -