Injury
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Anatomicaly preformed variable-angle locking plates are technologically mature and appear to be optimal for the fixation of distal radius fractures. However, there is still much argument about whether volar plating is equivalent to dorsal (buttressing) plating, especially in the management of intra-articular extension fractures. This biomechanical study was performed to determine, in a simple intra-articular fracture model, whether dorsal or volar plate constructs would be more stable. ⋯ Biomechanically, volar plating with a modern variable-angle locking plate is equivalent to dorsal plating with two modern variable-angle locking plates.
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Comparative Study
Fracture of the distal radius with radial artery injury: injury description and outcome of vascular repair.
The ideal treatment of an isolated radial artery injury that is associated with a fracture of the distal radius is unknown. Our purposes were to assess the incidence of this injury pattern and to describe the outcomes of our treatment protocol. We hypothesised that combined routine repair of the artery during operative treatment results in a satisfactory outcome. ⋯ Our protocol resulted in adequate outcomes, a 71% patency rate (five of seven fractures with adequate vascular follow-up) and no evidence of symptoms related to a poorly perfused hand.
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Due to the complex anatomy of the clavicle, percutaneous plating with indirect reduction for comminuted midshaft fracture of the clavicle is challenging. The aim of this series was to report on a novel technique of nail-assisted percutaneous plating and to evaluate the radiographic and clinical outcomes in comminuted midshaft fractures of the clavicle. ⋯ Minimally invasive percutaneous plating for comminuted midshaft fractures of the clavicle, combining the advantages of elastic intramedullary nailing and percutaneous plating, may be a good option.
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Randomized Controlled Trial Multicenter Study Comparative Study
Re-displacement of stable distal both-bone forearm fractures in children: a randomised controlled multicentre trial.
Displaced metaphyseal both-bone fractures of the distal forearm are generally reduced and stabilised by an above-elbow cast (AEC) with or without additional pinning. The purpose of this study was to find out if re-displacement of a reduced stable metaphyseal both-bone fracture of the distal forearm in a child could be prevented by stabilisation with Kirschner wires. ⋯ Pinning of apparent stable both-bone fractures of the distal forearm in children might reduce fracture re-displacement. The frequently seen complications of pinning might be reduced by a proper surgical technique.
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Randomized Controlled Trial
Proximal humeral fractures treated with hemiarthroplasty: does tenodesis of the long head of the biceps improve results?
Pathology of the long head of the biceps (LHB) may be the cause of anterior shoulder pain after hemiarthroplasty for treatment of fractures of the proximal humerus. The currently available literature lacks adequate randomised trials examining whether tenodesis of the LHB improves results. The purpose of this study was to evaluate the effects of tenodesis of the LHB on the clinical outcome following hemiarthroplasty for fractures of the proximal humerus. ⋯ Level I therapeutic.