Injury
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Letter Case Reports
Spontaneous expectoration of an asymptomatic retained intrathoracic bullet.
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Review Meta Analysis Comparative Study
Dynamic versus static external fixation for unstable distal radius fractures: an up-to-date meta-analysis.
Whether dynamic or static external fixation is more appropriate for distal radius fractures is still being debated, our aim is to determine the effect of dynamic versus static external fixation for unstable distal radius fractures in terms of postoperative complication, clinical results and radiological outcomes. ⋯ The final results show that there are some evidences supporting the use of dynamic external fixation, which may also have practical advantages over static fixation by allowing earlier limb mobility during the fixation period and enabling such patients to maintain their independence. Limitations remain, a cost-effectiveness analysis and DASH-score assessments at all follow-up evaluations should be more carefully considered and reported in a reliable, consistent and standardised manner.
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Randomized Controlled Trial Multicenter Study Comparative Study
Below-elbow cast for metaphyseal both-bone fractures of the distal forearm in children: a randomised multicentre study.
Minimally displaced metaphyseal both-bone fractures of the distal forearm in children are often treated with an above-elbow cast (AEC). Treatment with a below-elbow cast (BEC) could give more comfort, but might lead to fracture displacement reducing pronation and supination. Because this has not been systematically investigated, we set up a randomised multicentre study. The purpose of this study was to find out whether BEC causes equal limitation of pronation and supination but with higher comfort level, compared with AEC. ⋯ Children with minimally displaced metaphyseal both-bone fractures of the distal forearm should be treated with a below-elbow cast.
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Falls are a common mechanism of injury in the older population, putting an increasing demand on scarce healthcare resources. The objective of this study was to determine healthcare costs due to falls in the older population. ⋯ Fall-related injuries are leading to a high healthcare consumption and related healthcare costs, which increases with age. Programmes to prevent falls and fractures should be further implemented in order to reduce costs due to falls in the older population and to avoid that healthcare systems become overburdened.
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Review Meta Analysis
Routine blood tests as predictors of mortality in hip fracture patients.
The aim of this study was to assess the evidence for the association between different biochemical markers at admission and mortality through a meta-analysis. ⋯ Biochemical markers at admission are valid predictors of mortality in hip fracture patients.