JBJoão Carlos Belloti

João Carlos Belloti

*This is an algorithmically generated author record based on publicly available information.

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João Carlos Belloti has a total of 13 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Open Access

    Are classifications of proximal radius fractures reproducible?

    by Fabio T Matsunaga, Marcel Js Tamaoki, Eduardo F Cordeiro, Anderson Uehara, Marcos H Ikawa, Marcelo H Matsumoto, João Bg dos Santos, João C Belloti

    Fractures of the proximal radius need to be classified in an appropriate and reproducible manner. The aim of this study was to assess the reliability of the three most widely used classification systems.


  • Open Access

    Are distal radius fracture classifications reproducible? Intra and interobserver agreement

    by João Carlos Belloti, Marcel Jun Sugawara Tamaoki, Carlos Eduardo da Silveira Franciozi, João Baptista Gomes dos Santos, Daniel Balbachevsky, Eduardo Chap Chap, Walter Manna Albertoni, Flávio Faloppa

    CONTEXT AND OBJECTIVE: Various classification systems have been proposed for fractures of the distal radius, but the reliability of these classifications is seldom addressed. For a fracture classification to be useful, it must provide prognostic significance, interobserver reliability and intraobserver reproducibility. The aim here was to evaluate the intraobserver and interobserver agreement of distal radius fracture classifications. DESIGN AND SETTING: This was a validation study on interobserver and intraobserver reliability. It was developed in the Department of Orthopedics and Traumatology, Universidade Federal de São Paulo - Escola Paulista de Medicina. METHOD: X-rays from 98 cases of displaced distal radius fracture were evaluated by five observers: one third-year orthopedic resident (R3), one sixth-year undergraduate medical student (UG6), one radiologist physician (XRP), one orthopedic trauma specialist (OT) and one orthopedic hand surgery specialist (OHS). The radiographs were classified on three different occasions (times T1, T2 and T3) using the Universal (Cooney), Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF), Frykman and Fernández classifications. The kappa coefficient (κ) was applied to assess the degree of agreement. RESULTS: Among the three occasions, the highest mean intraobserver k was observed in the Universal classification (0.61), followed by Fernández (0.59), Frykman (0.55) and AO/ASIF (0.49). The interobserver agreement was unsatisfactory in all classifications. The Fernández classification showed the best agreement (0.44) and the worst was the Frykman classification (0.26). CONCLUSION: The low agreement levels observed in this study suggest that there is still no classification method with high reproducibility.