Interobserver Agreement of Ankle Fracture Classification Among Emergency Physicians

Emergency physicians at both Hospitals demonstrated moderate to substantial interobserver agreement in applying the Danis-Weber classification system to ankle fractures, with performance levels comparable to those of orthopaedic and trauma surgeons internationally. However, the educational intervention in the form of an emailed presentation did not significantly improve either agreement or accuracy. Alternative educational strategies may be required to enhance diagnostic consistency in clinical practice.

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Publication Details

Journal
Emergency Medicine Australasia
Published
2025-12-01
DOI
https://doi.org/10.1111/1742-6723.70179
Primary Topic
Foot and Ankle Surgery
Type
article
Field-Weighted Citation Impact
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article

Interobserver Agreement of Ankle Fracture Classification Among Emergency Physicians

Duncan James Reed, Bronwyn Shin, Arpita Das, Gabriel Ayonmigbesimi Akra et al.
Emergency Medicine Australasia
Foot and Ankle Surgery
article

Interobserver Agreement of Ankle Fracture Classification Among Emergency Physicians

Duncan James Reed, Bronwyn Shin, Arpita Das, Gabriel Ayonmigbesimi Akra, Vendel A. Kristensen, Cynthia Wu, Elizabeth Coren
article en

Abstract

Emergency physicians at both Hospitals demonstrated moderate to substantial interobserver agreement in applying the Danis-Weber classification system to ankle fractures, with performance levels comparable to those of orthopaedic and trauma surgeons internationally. However, the educational intervention in the form of an emailed presentation did not significantly improve either agreement or accuracy. Alternative educational strategies may be required to enhance diagnostic consistency in clinical practice.

Emergency Medicine AustralasiaVol. 37(6)
Gosford Hospital (AU), Wollongong Hospital (AU), Hunter Medical Research Institute (AU), University of Newcastle Australia (AU)
Openalex Percentile: Top 51%
Foot and Ankle Surgery
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Interobserver Agreement of Ankle Fracture Classification Among Emergency Physicians — Duncan James Reed, Bronwyn Shin, et al. · Emergency Medicine Australasia (2025) | TGRS Research Map | TGRS