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dc.contributor.advisorBonilla, Guillermo 
dc.creatorJaramillo, Rodrigo 
dc.creatorBautista, María Piedad 
dc.date.accessioned2018-01-26T20:58:54Z
dc.date.available2018-01-26T20:58:54Z
dc.date.created2018-01-17
dc.date.issued2018 
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/14227
dc.descriptionLas fracturas periprotésicas son una complicación catastrófica que impacta la salud de los pacientes con artroplastias de cadera. El Sistema Unificado de Clasificación (SUC) fue desarrollado con el propósito de aplicar los principios de manejo de fracturas periprotésicas a cualquier reemplazo articular e incluir trazos de fracturas que el Sistema de Clasificación Vancouver (SCV) no contempla. El propósito de este estudio es evaluar y comparar la reproducibilidad de ambas clasificaciones.
dc.description.abstractBackground: The new Unified Classification System (UCS) was developed in order to extend the Vancouver Classification (VC). Whether this new classification is at least as reliable as the traditional VC, has not been determined yet. Question/Purpose: To assess and compare the reproducibility of both classification systems. Methods: Nineteen observers (11 hip and knee trained surgeons and 8 orthopedic residents) assessed the radiographs of 20 periprosthetic fractures of the hip and categorized each case according to the UCS and the VC. The intraobserver and interobserver agreement was evaluated with the AC2 statistic of Gwet with weights for partial agreements. Results: The interobserver agreement for UCS was 0.57 (95% CI 0.42 - 0.73) and 0.60 (95% CI 0.35 - 0.84) for the VC. This difference was not statistically significant (p=0.82). The intraobserver agreement for USC was 0.57 (95% CI 0.50 - 0.64) and 0.70 (95% CI 0.59 - 0.82). This difference was not statistically significant either (p=0.94). Conclusions: In spite of being a more detailed system, the new UCS is not superior in terms of reliability to the traditional VC. A deeper understanding of this new classification system is required before it is implemented in clinical practice.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectFracturas periprotésicas
dc.subjectUnified Classification System
dc.subjectFalla de implante
dc.subjectArtroplastia de cadera
dc.subject.ddcVarias ramas de la medicina, Cirugía  
dc.title¿El nuevo Sistema Unificado de Clasificación (SUC) de fracturas periprotésicas de cadera es más reproducible que la Clasificación de Vancouver?
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Ortopedia y Traumatología FSFB
dc.publisher.programEspecialización en Ortopedia y Traumatología FSFB
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordArthroplasty
dc.subject.keywordReplacement
dc.subject.keywordHip
dc.subject.keywordReoperation
dc.subject.keywordPeriprosthetic Fractures
dc.subject.keywordClassification
dc.subject.keywordObserver Variation
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsFracturas Periprotésicas
dc.subject.decsArtroplastia de Reemplazo de Cadera
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
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