Journal of orthopaedic trauma
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Randomized Controlled Trial
Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: a prospective randomized trial with early follow-up.
To prospectively compare the functional outcome associated with cemented and uncemented hemiarthroplasty. ⋯ Therapeutic Level II. See page 128 for a complete description of levels of evidence.
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Randomized Controlled Trial Comparative Study
Less invasive stabilization system (LISS) versus proximal femoral nail anti-rotation (PFNA) in treating proximal femoral fractures: a prospective randomized study.
To evaluate the outcome and efficacy of LISS (Less Invasive Stabilization System; Synthes USA, Paoli, PA) for the treatment of proximal femoral fractures to find another appropriate minimally invasive surgery for these fractures in which intramedullary nailing may be difficult. ⋯ Therapeutic Level II. See page 128 for a complete description of levels of evidence.
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To investigate the predictors of functional outcome and changes in the basic activities of daily living in older adults who sustained hip fractures, considering the level of ambulatory ability before injury. ⋯ Prognostic Level I. See page 128 for a complete description of levels of evidence.
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Shortening after intertrochanteric hip fractures with sliding constructs is an increasingly recognized problem by the orthopaedic community. It often results in a limb length discrepancy causing maladaptation of the abductor lever arm. Functional limitations can also result from altered hip biomechanics and negatively influence patient outcomes. We hypothesized that with trochanteric entry nailing, calcar reduction, and intraoperative compression, a near-normal restoration of gait parameters and satisfactory outcomes can be achieved. ⋯ Therapeutic Level IV. See page 128 for a complete description of levels of evidence.
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Randomized Controlled Trial Multicenter Study Comparative Study
Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial.
To compare clinical and functional outcomes after operative and nonoperative treatment of undisplaced, unstable, isolated fibula fractures. ⋯ Patients managed operatively had equivalent functional outcomes compared with nonoperative treatment; however, the risk of displacement and problems with union was substantially lower in patients managed with surgery.