Ankle Fracture Classification - Paul Jairaj 4/4/2002

Author

  Lauge-Hansen N ( Randers , Denmark )

Title

  Fractures of the Ankle

Reference

  Archives of Surgery. 64 : 488-500, 1952.

Summary

  6 papers between'48-54.experimental study. 425 cadavers and 228 Xrays. Set up in lab and broken-patterns observed   split into gps.

Critique

  Cadaver study. many variations not all subgrouped.Not all XRed

Author

  Kennedy JG, Johnson SM, Stephens MM.(UC Dublin)

Title

  Evaluation of Weber Classification of Ankle Fractures

Reference

  Injury. 29(8) : 577-80, 1998 Oct

Summary

  107 pats only 88 Weber classified (Pilon/Med Mall exc). Outcome Predictors = no. of malleoli #/ initial degree of displacment/ adequacy of reduction/ age > 62yrs. These factors were of greater significance than level of Fib # alone.

Critique

  Retrospective, 3yr FU, 170 potential pats, ?Outcome scoring.

Author

  Thomsen NO, Overgaard S,

Title

  Observer variation in the radiologic classification of Ankle #

Reference

  JBJS 73(4) : 676-8, 1991 Jul

Summary

  94 XR indep classified by 4 observers(C-Orth,C-Rad,R-Orthx2)at t=0 and t=3/12.Lauge-Hansen had 14 poss gps inc NC=nonclassifiable and Weber had 4. Kappa stats for proportion of agreement was good overall but poor for L-H staging.

Critique

  Observers knew being assessed. XR quality inconsistent

Author

  Lindsjo U. ( Uppsala , Sweden )

Title

  Classification of Ankle Fractures: Lauge-Hansen or AO system

Reference

  CORR. (199) : 12-16, 1985 Oct.

Summary

  2 systems overlap,direct translation not poss. Type A usu = SA,PA1,and PE1. Type B usu = SE,PA2 and PE2. Type C usu = PA3 and PE3. Opposite modes occur

Critique

  Not trial. Not analysed.