Journal of orthopaedic trauma
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To evaluate the efficiency of a solid femoral nail and interlocking spiral-blade, inserted without reaming (UFN/ spiral blade, Synthes-Stratec, Oberdorf, Switzerland), for the fixation of pathologic and impending pathologic fractures of the proximal femur, particularly those involving the subtrochanteric area. ⋯ Femoral nail insertion without reaming using an interlocking spiral blade provides appropriate stabilization of the proximal femur in case of metastatic lesions, even with extensive subtrochanteric involvement. Although the nails were inserted without reaming, this did not avoid the risk of fat embolization syndrome. This study only addressed results in patients with short-term survival.
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This study was undertaken to collect information about the organization of orthopaedic trauma services in different types of hospitals, with particular emphasis on hospital support arrangements in different practice situations. ⋯ There are differences in organization of orthopaedic trauma care between hospitals, which may be related to hospital size, academic affiliation, and orthopaedic department organization. Further study is necessary to determine whether organizational differences translate into differences in patient outcome after trauma.
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To evaluate the results of radial head excision for the treatment of elbow fracture-dislocations with an unsalvageable comminuted radial head fracture and no other associated fractures. ⋯ Acute radial head excision for the treatment of elbow fracture-dislocations provides satisfactory short-term clinical results when there are no other associated intraarticular fractures. However, the long-term significance of the early degenerative changes is not known.
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Comparative Study
Evaluation of the syndesmotic screw in low Weber C ankle fractures.
To determine the functional and radiographic outcome of low Weber C ankle fractures and to evaluate the contribution of the syndesmotic screw in their outcome. ⋯ Judicious fixation of Weber C type injuries within five centimeters of the ankle joint, with or without a syndesmotic screw, gives similar results. Obligatory fixation of these fractures with syndesmotic screws appears to have no benefit and creates the need for an additional procedure.
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To evaluate the effect of previous cerebrovascular accident on outcome after hip fracture. ⋯ The functional recovery of elderly hip fracture patients who had a prior cerebrovascular accident was similar to that of patients who had no history of a prior cerebrovascular accident.