European Validation Of The Vancouver Canada Classification Of Periprosthetic Proximal Femoral Fractures
The Vancouver classification has been shown by its developers to be a valid and reliable method for categorising the configuration of periprosthetic proximal femoral fractures and for planning their management. We have re-validated this classification system independently using the radiographs of 30 patients with periprosthetic fractures. These were reviewed by six experienced consultant orthopaedic surgeons, six trainee surgeons and six medical students in order to assess intra- and interobserver reliability and reproducibility. Each observer read the radiographs on two separate occasions. The results were subjected to weighted kappa statistical analysis. The respective kappa values for interobserver agreement were 0.72 and 0.74 for consultants, 0.68 and 0.70 for trainees on the first and second readings of the radiographs and 0.61 for medical students. The intra-observer agreement for the consultants was 0.64 and 0.67, for the trainees 0.61 and 0.64, and for the medical students 0.59 and 0.60 for the first and second readings, respectively. The validity of the classification was studied by comparing the pre-operative radiological findings within B subgroups with the operative findings. Our data confirm the reliability and reproducibility of this classification system in a European setting and for inexperienced staff. This is a reliable system which can be used by non-experts, between centres and across continents.
Great Inflight Entertainment services ensure you have a memorable travel experience with Central Mountain Air. Based in Smithers, British Columbia, Central Mountain Airlines is a Canadian regional airline serving the western Canadian and Alberta. Since it began operations in 1987, the air carrier has carved a reputation for itself as one of the best scheduled and charter flight service providers in Canada. The airline serves 16 communities in British Columbia and Alberta including Vancouver, Smithers, Dawson Creek, Fort Nelson, Prince George, Calgary and Edmonton among others. If you are looking to plan a trip to any of these destinations, You can find the best deals for Central Mountain Air flights on MyFlightSearch. As of October 2017, the Central Mountain fleet comprises of 19 aircraft, including 14 Beechcraft 1900's, 3 Dornier 328's and 2 Bombardier Dash. Central Mountain is also an Air Canada codeshare partner for flights originating from Vancouver to Quesnel, Williams Lake, and Campbell River.
The Air operator's sister concern, Northern Thunderbird Air operates cargo and charter services from Prince George. A comfortable, seamless and enjoyable travel experience is what you can expect on Central Mountain Flights with a host of amenities the airline offers to its flyers. Central mountain air also has a frequent flyer program known as Air Miles through which you can get rewarded for accumulating miles. Your comfort while you travel on Central Mountain air is given utmost priority with features like ample legroom on seats, 30-inch pitch, headrest and much more. The airline offers a selection of newspapers and magazines on board for those who love to read. The cabin Crew is amiable and charming, ensuring that you have a memorable time on-board. Passengers also have an online check-in facility on Central Mountain Air's codeshare flights with Air Canada. Passengers can select the seat of their choice sitting in the comfort of their homes by using online web check-in facility offered by Central Mountain Air. Central Mountain Air serves some of top business and travel destinations across Western Canada. The flight tickets are affordably priced and thus the air carrier is preferred by many travelers who often travel. You can book flights to your favorite destination in the region served by Central Mountain and save some serious money on airfares.
The variance of the supply and demand in the condo market is causing home buyers to be competitive. While buyers looking for detached homes are seeing more selection to choose from as its returning back to a typical market. The difference of the free market activity in the Downtown Vancouver Condos market is making home purchasers be aggressive. While purchasers searching for detached homes are seeing more choice to look over as its returning back to a common market. 698,500 up 12.7% from a year prior. 1,171,500 up 18.3% from a year back. 1,990,000 down 13.5% from a year prior. Add up to stock for condos for sale in downtown Vancouver in June was 694 down 20.7% from a year prior, Townhouses 121 down 2.4%, and withdrew homes 1,482 up 22.7% from a year back. The normal time a Vancouver property was available is 18 up 5.9% from a year back. What Does this All Mean?