<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022015000600299</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Clasificación de las fracturas supracondíleas en niños: Gartland, AO y Holmberg. ¿Cuál tiene el mayor acuerdo interobservador?]]></article-title>
<article-title xml:lang="en"><![CDATA[Classification of Pediatric Supracondylar Fractures: Gartland, AO and Holmberg: Which has the best interobserver agreement?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Corres-Franco]]></surname>
<given-names><![CDATA[IA.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Gómez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Querétaro  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>29</volume>
<numero>6</numero>
<fpage>299</fpage>
<lpage>302</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022015000600299&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022015000600299&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022015000600299&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Existen diversas clasificaciones para las fracturas supracondíleas de húmero. El objetivo de este estudio fue evaluar la reproducibilidad y acuerdo interobservador de las clasificaciones Holmberg, Gartland y AO.  Métodos: Estudio retrospectivo, de evaluaciones concurrentes, ciegas e independientes realizado en una muestra consecutiva de 42 placas radiográficas de codo (AP y lateral) de pacientes pediátricos con fracturas supracondíleas. Tres observadores, con grados similares de entrenamiento, las evaluaron de manera independiente y asignaron los puntajes a cada una de acuerdo con las tres escalas mencionadas. Valoramos el acuerdo interobservador con el coeficiente Tau-b de Kendall; se calculó la media aritmética y los coeficientes se compararon con una transformación de Fisher. La interpretación se hizo de acuerdo con los estándares propuestos por Landis y Koch.  Resultados: Las clasificaciones de Holmberg y Gartland tuvieron una media de coeficiente de correlación de 0.654 y 0.706, respectivamente (p &lt; 0.001). La clasificación de Holmberg ofrece mejor descripción anatómica. La clasificación AO tuvo una media de coeficiente de correlación de 0.491 (p = 0.001). La diferencia entre los coeficientes de correlación Holmberg/Gartland fue de 0.052; Holmberg/AO de 0.163 y Gartland/AO = 0.215. No hubo diferencias estadísticamente significativas entre estos valores, pero sí epistemológicas. De acuerdo con Landis y Koch, las clasificaciones de Holmberg y Gartland tienen un acuerdo substancial; la clasificación de AO, moderado.  Conclusión: La clasificación de Holmberg es la más recomendable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Several classifications have been proposed for supracondylar fractures of the humerus. The purpose of this study was to assess the reproducibility and interobserver agreement of the Holmbert, Gartland and AO classifications.  Methods: Retrospective study consisting of concurrent, blind and independent assessments of a consecutive sample of 42 elbow X-rays (AP and lateral) of pediatric patients with supracondylar fractures. Three observers, with similar degree of training, evaluated the X-rays independently and scored each one of them using the 3 scales compared herein. The interobserver agreement was assessed using Kendall's Tau-b ratio; the arithmetic mean was calculated and the ratios were compared with Fisher's transformation. The interpretation was made using the standards proposed by Landis Koch.  Results: The Holmberg and Gartland classifications had a mean correlation coefficient of 0.654 and 0.706, respectively (p &lt; 0.001). Holmberg's classification provides a better anatomical description. The mean correlation coefficient of the AO classification was 0.491 (p = 0.001).The difference between the correlation coefficients was 0.052 for Holmbert/Gartland; 0.163 for Holmberg/AO, and 0.215 for Gartland/AO. There were no statistically significant differences among these values, but there were epistemological differences. According to Landis and Koch, the Holmberg and Gartland classifications show a substantial agreement, while the AO classification showed a moderate agreement.  Conclusion: Holmberg's classification is the most recommendable one.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[fractura supracondílea]]></kwd>
<kwd lng="es"><![CDATA[clasificación]]></kwd>
<kwd lng="es"><![CDATA[húmero]]></kwd>
<kwd lng="es"><![CDATA[rayos X]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="en"><![CDATA[supracondylar fracture]]></kwd>
<kwd lng="en"><![CDATA[classification]]></kwd>
<kwd lng="en"><![CDATA[humerus]]></kwd>
<kwd lng="en"><![CDATA[X ray]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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