Classifying Adverse Events Following Lower Limb Orthopaedic Surgery in Children with Cerebral Palsy: Reliability of the Modified Clavien-Dindo System

Abstract

Background: The modified Clavien-Dindo (MCD) system is a reliable tool for classifying adverse events (AEs) in hip preservation surgery and has since been utilized in studies involving lower limb surgery for ambulant and nonambulant children with cerebral palsy (CP). However, the profile of AEs recorded in children with CP compared with typically developing children is different, and the reliability of the MCD in CP is unknown. This study aimed to evaluate the interrater and intrarater reliability of the MCD system for classifying AEs following lower limb surgery in children with CP. Methods: Eighteen raters were invited to participate, including clinicians from surgical, nursing, and physic..