Injury
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Multicenter Study
Radiological outcomes of distal radius extra-articular fragility fractures treated with extra-focal kirschner wires.
The classical colles fracture (extra-articular, dorsally angulated distal radius fracture) in patients with osteoporotic bone is becoming increasingly more frequent. There still appears to be no clear consensus on the most appropriate surgical management of these injuries. The purpose of this study is to appraise the use of percutaneous extra-focal pinning, in the management of the classical colles fracture. ⋯ In female patients over 60 years of age, the best predictor of radial length, when k-wire fixation is to be used, is the radial length prior to fracture reduction. Thus if there is radial shortening visible in the initial radiographs as measured in terms of ulnar variance, one should consider a method of fixation other than inter-fragmentary k-wires.
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Multicenter Study
Functional outcome of shoulder hemiarthroplasty for fractures: A multicentre analysis.
In this multicentre study, data on 102 shoulder hemiarthroplasties for the treatment of fractures were analysed retrospectively with regard to tuberosity healing and functional outcome. ⋯ In this study, we found that anatomical tuberosity healing around the prosthesis improved functional outcome and range of motion.
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To summarise our experiences of anaesthetic management under field conditions after the Wenchuan earthquake, China, on 12 May 2008. ⋯ Earthquake-related injuries are complex. In view of dehydration, hypovolaemia and crush injury are common in earthquake victims, it is essential to perform adequate fluid therapy preoperatively, to ensure safety and reduce complications. Monitored anaesthesia care and regional anaesthesia are highly suitable for anaesthesia under field conditions, they are safe and efficacious. General anaesthesia also can be performed to avail the prompt treatment for the severe injuries in a well-equipped deployable field hospital nowadays. Appropriate anaesthetic management can improve the outcomes to a great extent and is an important component of medical assistance after disasters.