Journal of orthopaedic trauma
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Multicenter Study Comparative Study
A comparison of more and less aggressive bone debridement protocols for the treatment of open supracondylar femur fractures.
This study compared results of aggressive and nonaggressive debridement protocols for the treatment of high-energy, open supracondylar femur fractures after the primary procedure, with respect to the requirement for secondary bone grafting procedures, and deep infection. ⋯ Therapeutic level III.
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To evaluate the effects of implementing a multidisciplinary geriatric hip fracture program on clinical outcome measures at our institution. ⋯ Therapeutic level III.
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Recent studies on ankle syndesmosis injuries have shown that a significant amount of rotational malediction of the distal fibula are missed and may lead to poor functional outcome. A new set of radiographic criteria were developed to help detect distal fibula internal and external rotation using conventional fluoroscopy. The criteria were tested using a cadaveric model for Weber C ankle fractures fixed with the fibula in various degrees of internal and external rotation. Using the criteria orthopaedic trauma surgeons were able to improve their accuracy and agreement on assessment of degree and direction of fibula rotation.
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The optimal exposure interval for anteromedial coronoid fractures is unknown. The purpose of this study was to quantitatively compare the osseous and ligamentous exposure of the medial elbow using the flexor carpi ulnaris (FCU)-Splitting and Hotchkiss Over-the-Top approaches. ⋯ The FCU-Splitting approach provides more extensive exposure of the anteromedial coronoid and proximal ulna and the medial ligamentous structures than the Hotchkiss Over-the-Top approach.
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The aim of the present study was to determine whether 3-dimensional (3D) fluoroscopic navigation combined with a preoperative computer tomography (CT)-based plan could enable surgeons to perform safe and reliable iliosacral screw insertion despite their limited experience. ⋯ The CT-3D-fluoroscopy matching navigation system reduced the malposition rate of percutaneous iliosacral screw insertion when performed by less experienced surgeons.