Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children

de Gheldere, Antoine;Legname, Marie;Leyder, M.;Mezzadri, Guillaume;Docquier, Pierre-Louis
(2010) Orthopaedics & Traumatology: Surgery & Research — Vol. 96, n° 6, p. 652-655 (2010)

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Authors
  • de Gheldere, Antoine
    Author
  • Legname, Marie
    Author
  • Leyder, M.
    Author
  • Mezzadri, Guillaume
    Author
  • Author
Abstract
Introduction: The Lagrange and Rigault classification was designed to describe extension-type supracondylar fractures of the humerus. It can also help in treatment decision-making. Hypothesis: The reliability of this classification has not yet been proven. The goal of this study was to assess this system's intra- and interobserver reliability. Methods: One hundred supracondylar fracture radiographs were randomly retrieved and reviewed by five different observers on two occasions in a different order. The kappa index was used to calculate the intra- and interobserver reliability. Results: Intraobserver reliability was 0.76 and interobserver reliability was 0.69. Discussion: The study shows good intra- and interobserver reliability. The Lagrange and Rigault classification has similar reliability to other supracondylar fracture classifications. (c) 2010 Elsevier Masson SAS. All rights reserved.
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de Gheldere, A., Legname, M., Leyder, M., Mezzadri, G., & Docquier, P.-L. (2010). Reliability of the Lagrange and Rigault classification system of supracondylar humerus extension fractures in children. Orthopaedics & Traumatology: Surgery & Research, 96(6), 652-655. https://doi.org/10.1016/j.otsr.2010.03.021 (Original work published 2010)