title: Reliability and reproducibility of classifications for distal radius fractures.
abstract: OBJECTIVE
  The aim of this study was to evaluate the interobserver reliability and intraobserver reproducibility of the Universal, AO, Fernandez and Frykman classifications for distal radius fractures.
  
  
  METHODS
  Fifty standard sets of posteroanterior and lateral roentgenograms of displaced distal radius fractures were classified two times by two groups of evaluators at 2-month intervals. The first group consisted of 10 orthopedic surgeons with a minimum of 5 years of experience. The second group consisted of 10 orthopedic residents in their first two years of practice. Interobserver reliability and intraobserver reproducibility were assessed using Cohen's kappa test.
  
  
  RESULTS
  None of the classifications achieved good- very good reliability levels. The Fernandez classification had a moderate and the others had a fair interobserver agreement kappa coefficient. All classifications had fair kappa intraobserver agreement although the Frykman and Fernandez classifications had better results.
  
  
  CONCLUSIONS
  None of the classification systems were superior in terms of reliability and reproducibility. The reliability and reproducibility rates of all four classifications were insufficient.
authors.affiliation: Department of Orthopedics and Traumatology, Faculty of Medicine, Ege University, İzmir, Turkey. kucuklevent@yahoo.com
authors.forename: Levent
authors.initials: L
authors.lastname: Küçük
authors.forename: Mert
authors.initials: M
authors.lastname: Kumbaracı
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Günay
authors.forename: Levent
authors.initials: L
authors.lastname: Karapınar
authors.forename: Oğuz
authors.initials: O
authors.lastname: Ozdemir
mesh_terms: D003100:Colles' Fracture / Q000145:classification* / Q000000981:diagnostic imaging / Q000453:epidemiology; D004636:Emergency Service, Hospital; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D015588:Observer Variation; D009985:Orthopedics; D010820:Physicians / Q000706:statistics & numerical data; D011859:Radiography; D015203:Reproducibility of Results; D014421:Turkey / Q000453:epidemiology