Der MKG-Chirurg

, Volume 10, Issue 2, pp 74–81 | Cite as

Die neue AO-CMF-Trauma-Klassifikation im Überblick

Grundidee und Grundkonzeption
Leitthema
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Zusammenfassung

Zielsetzung

Eine umfassende Trauma-/Frakturklassifikation für sämtliche Untereinheiten des Schädelskeletts (CMF) von Erwachsenen soll auf den Weg zur allgemeinen Anwendung und Überprüfung der Praxistauglichkeit gebracht werden.

Methodik

Der methodologische Hintergrund zur Validierung und die Grundkonzeption des Klassifikationssystems werden dargestellt, um damit erste Überzeugungsarbeit für die Erprobung in der Routine zu leisten.

Ergebnis

Das 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.

Schlussfolgerung

Der jetzige Entwicklungsstand der neuen AO-CMF-Trauma-Klassifikation hat ein Niveau erreicht, um beim Einsatz im klinischen Alltagtest bestätigt und optimiert zu werden.

Schlüsselwörter

Trauma Gesichtsschädel Frakturen Validierung Software 

Overview of the new AO CMF trauma classification

Basic ideas and basic conception

Abstract

Objective

To launch a new comprehensive trauma fracture classification for all subunits of the entire craniomaxillofacial (CMF) skeleton into general application and testing of practical suitability.

Methods

Description 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.

Results

The 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.

Conclusion

The current developmental state of the new AO CMF trauma classification has entered a stage to be confirmed and optimized under real-life clinical conditions.

Keywords

Trauma Facial skeleton Fractures Validation Software 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

C.-P. Cornelius, L. Audigé und J. Prein geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  1. 1.Klinik und Poliklinik für MKG ChirurgieLMU MünchenMünchenDeutschland
  2. 2.Schulthess Klinik Muskuloskelettal ZentrumZürichSchweiz
  3. 3.Wiederherstellungschirurgie, Mund-, Kiefer- und GesichtschirurgieUniversitätsspital BaselBaselSchweiz

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