Die neue AO-CMF-Trauma-Klassifikation im Überblick

ZusammenfassungZielsetzungEine umfassende Trauma-/Frakturklassifikation für sämtliche Untereinheiten des Schädelskeletts (CMF) von Erwachsenen soll auf den Weg zur allgemeinen Anwendung und Überprüfung der Praxistauglichkeit gebracht werden.MethodikDer methodologische Hintergrund zur Validierung und die Grundkonzeption des Klassifikationssystems werden dargestellt, um damit erste Überzeugungsarbeit für die Erprobung in der Routine zu leisten.ErgebnisDas aktuell gültige Klassifikationsmodell ist das Produkt eines iterativen Entwicklungsprozesses auf der Grundlage einer Serie von Pilotstudien. Es zeichnet sich durch eine Einteilung des Schädelskeletts in immer kleinere anatomische Untereinheiten aus, in denen Frakturen in 3 Präzisionsleveln mit zunehmender Detailgenauigkeit erfasst werden können. Ein spezielles Softwareprogramm, die CMF-Applikation des Comprehensive Injury Automatic Classifier der Arbeitsgemeinschaft für Osteosynthesefragen (AOCOIAC) mit einer klar strukturierten Ikonographie der anatomischen Regionen und Subregionen macht die systematische Aufzeichnung der Frakturmuster und -morphologie sowie die Umsetzung in Kodierungsformeln zur Abspeicherung in Datenbanken auf einfache Weise möglich.SchlussfolgerungDer jetzige Entwicklungsstand der neuen AO-CMF-Trauma-Klassifikation hat ein Niveau erreicht, um beim Einsatz im klinischen Alltagtest bestätigt und optimiert zu werden.AbstractObjectiveTo launch a new comprehensive trauma fracture classification for all subunits of the entire craniomaxillofacial (CMF) skeleton into general application and testing of practical suitability.MethodsDescription of the methodological background of the validation process and the basic conception with the intention to gain convincing work and confidence for a trial phase in everyday clinical routine.ResultsThe currently valid version of the classification is the product of an iterative developmental process supported by a series of pilot reliability studies. The classification model of the craniofacial skeleton is divided into incrementally smaller anatomical subunits, wherein the occurrence of fractures can be recorded in 3 precision levels with increasing accuracy. A purpose-designed software solution, the CMF application of the working group on osteosynthesis questions (AO) comprehensive injury automatic classifier (AOCOIAC) with clearly structured icons representing the anatomical regions and subregions greatly facilitates the systematic registration of fracture patterns and fracture morphology as well as the conversion into coding formulas for database storage.ConclusionThe current developmental state of the new AO CMF trauma classification has entered a stage to be confirmed and optimized under real-life clinical conditions.

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