Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Mar 2015
Comparative StudyClinical results of using minimally invasive long plate osteosynthesis versus conventional approach for extensive comminuted metadiaphyseal fractures of the radius.
The minimally invasive plate osteosynthesis (MIPO) technique has been introduced recently. The extensive comminuted fractures of the distal radial metaphysis with diaphyseal involvement are probably good indications for MIPO technique because of less extensive dissection and soft-tissue stripping. The purpose of this retrospective study was to compare the clinical results of MIPO technique to those of conventional open reduction in extensive metadiaphyseal fractures of distal radius. ⋯ MIPO is capable of achieving functional results as good as those of conventional open reduction, with a higher satisfaction scale, smaller incision, and shorter operative time. When MIPO intervention is planned, concurrent distal ulnar fracture or DRUJ injury should be repaired first, thus facilitating subsequent indirect reduction. For treating intra-articular fractures, anatomical reduction of the articular surface is more important, and the MIPO technique described here is not recommended.
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Arch Orthop Trauma Surg · Mar 2015
Plate fixation of extra-articular fractures of the proximal phalanx: do new implants cause less problems?
Limited range of finger motion is a frequent complication after plate fixation of phalangeal fractures. The purpose of this study was to evaluate the results of plate fixation of extra-articular fractures of the proximal phalanx using current low-profile mini-fragment-systems. ⋯ Therapeutic, Retrospective, Level IV.
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Arch Orthop Trauma Surg · Mar 2015
A special instrument to accurately and safely remove the femoral head.
Intracapsular hip fractures occur frequently, and most of them need operation. But current femoral head removal instruments used in the operation have many disadvantages. We optimized them. ⋯ The optimized instrument decreased the risk and saved the time of operation.
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Open ankle fractures present a significant clinical challenge. The management and outcome of these injuries has been extensively reported, but there have been no reports of the epidemiology and how this has changed over time. We report 178 adult patients with open ankle fractures presenting to our unit over a twenty-three year period. ⋯ The overall incidence remained constant over the two decades. In common with many traumatic injuries, open ankle fractures are increasingly low-energy insufficiency fractures affecting elderly patients, particularly older women. This has implications for service planning and training as well as the surgical intervention in these patients.
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Readmission to the hospital following a hip fracture is common, often involves an adverse event, and strains an already overburdened health care system. ⋯ Readmission after hip fracture is harmful and undesirable-18.6 % of readmitted patients died during their readmission and the average length of stay was 8.7 days. Approximately one of every six readmissions was identified as potentially preventable with interventions.