Injury
-
The optimal treatment of elderly patients with an acetabular fracture is unknown. We conducted a prospective clinical trial to compare functional outcomes and reoperation rates in patients older than 60 years with acetabular fracture treated with open reduction and internal fixation (ORIF) alone versus ORIF plus concomitant total hip arthroplasty (ORIF + THA). Our hypothesis was that patients who had ORIF + THA would have better patient reported outcomes and lower reoperation rates postoperatively. ⋯ In patients older than 60 years with an operative displaced acetabular fracture with specific fracture features (dome impaction, femoral head fracture, or posterior wall component), treatment with ORIF + THA resulted in fewer reoperations than treatment with ORIF alone. No differences in patient satisfaction and other validated outcome measures were detected.
-
Periprosthetic femoral fractures (PFF) are often the reason for revising total hip arthroplasty (RTHA). Converting these fractures into modified extended trochanteric osteotomy (mETO) facilitates stem revision. Modular revision stems are a common choice with good results. We present mid-term outcomes in patients undergoing RTHA for Vancouver B2/B3 PFF using a tapered, fluted modular stem with an mETO approach. ⋯ Good clinical and radiological outcomes and rather low complication and revision rates (18.8% and 13.8%) were achieved. FJS-12 showed excellent results in patients undergoing RTHA for Vancouver B2/B3 PFF using a cementless, dual modular titanium revision stem and an mETO approach. Joint awareness was thereby similar to previously reported primary THA results at 5.3 years follow-up.
-
Background Road Safety has become a worldwide concern due to the alarming repercussions road accidents may bear. This study examined the relationship between different geometric design elements and the accident rates on Rashid Bin Saeed Street, Arabian Gulf Street, and Sultan Bin Zayed Street in Abu Dhabi, United Arab Emirates. Methods The geometric design was collected from the satellite images of google earth in compliance with the standard geometric design manual of Abu Dhabi roads. ⋯ Regarding the road's geometric design, which is the focus of this study, a sensitivity analysis was made to determine the most influential geometric design element on accident frequency. Interpretation The number of lanes had the highest sensitivity index followed by the median width, and then came the lane width. Thus, modifying the number of lanes on a highway is anticipated to have the highest impact on accident frequency and road safety than any other geometric parameter.
-
To determine if matching by trauma risk score is non-inferior to matching by chronic comorbidities and/or a combination of demographic and patient characteristics in observational studies of acute trauma in a hip fracture model. ⋯ Level III.
-
Patellar fractures constitute almost 1% of total skeletal injuries. Existing common operative methods include the use of different types of Tension band wiring techniques like cannulated screws and K-wires. The Patellar plating construct is a relatively newer operative method for patellar fracture fixation with promising outcomes with fewer complications. ⋯ Patients with low profile patellar plate constructs have favorable clinical and radiological outcomes with minimal non-specific complications.