The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Sep 2012
Comparative StudySpinal column injuries among Americans in the global war on terrorism.
While combat spinal injuries have been documented since the fourth century BC, a comprehensive analysis of such injuries has not been performed for any American military conflict. Recent literature has suggested that spinal injuries account for substantial disability in wounded service members. ⋯ The incidence of spine trauma sustained by military personnel in Iraq and Afghanistan is higher than that reported for previous conflicts, and the nature of these injuries may be similar to those in severely injured civilians. Further research into optimal management and rehabilitation is critical for military service members and severely injured civilians with spine trauma.
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J Bone Joint Surg Am · Sep 2012
Comparative StudyTwo to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures.
The aims of the study were (1) to determine the cumulative two to twenty-year survivorship of the hip after open reduction and internal fixation of displaced acetabular fractures, (2) to identify factors predicting conversion to total hip arthroplasty or hip arthrodesis, and (3) to create a predictive model that calculates an individual's probability of early need for total hip arthroplasty or hip arthrodesis. ⋯ Open reduction and internal fixation of displaced acetabular fractures was able to successfully prevent the need for subsequent total hip arthroplasty within twenty years in 79% of the patients. The results represent benchmark comparative data for any future and past studies on the outcome of surgical fixation of acetabular fractures.
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J Bone Joint Surg Am · Sep 2012
Review Comparative StudySports-related concussion: assessment and management.