The Use of Eponyms for Surgical Approaches and Fractures in Elbow Surgery: Accuracy and Reliability Pre- and Post-Training
نویسندگان
1 Department of Orthopedic Surgery, Rijnstate Hospital, 6815 AD Arnhem, The Netherlands
2 Shoulder and elbow Unit, Department of Orthopedic Surgery, Onze Lieve Vrouwe Gasthuis, 1091 AC Amsterdam, The Netherlands
3 Department of Surgery and Traumatology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands
4 Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, 4818 CK Breda, The Netherlands
5 Foundation for Orthopedic Research, Care & Education, Amphia Hospital, 4818 CK Breda, The Netherlands
6 Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, 4818 CK Breda, The Netherlands Department of Orthopedic Surgery, University of Amsterdam, 1105 AZ Amsterdam-Zuidoost, The Netherlands
7 Department of Orthopedic Surgery, Flinders Medical Centre, Adelaide, Australia
doi
10.22038/abjs.2018.32469.1860چکیده
The use of eponymous terms in orthopedic trauma surgery is common. In an assessment pre-training versus posttrainingat an AO Advanced Elbow Trauma Course, we aimed to report on (1) the accuracy and (2) reliability of 10common eponymous terms used for surgical approaches and fractures in elbow surgery. Before training, eponymswere described correctly in 38% of questions versus 47% after training. The percentage of correct answers onlyimproved significantly in one question (P<0.005). A generalized kappa of 0.37 before training versus 0.31 aftertraining represents an overall fair reliability of the eponymous terms. In conclusion, the accuracy and reliabilityof eponymous terms used in elbow surgery is disappointing. Moreover, this type of standardized training formatdoes not seem to improve the knowledge of eponymous terms of experienced trauma- and orthopedic surgeons.Therefore, we suggest considering descriptive terms or standardized fracture classifications instead of eponymousterms.Level of evidence: II
