Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2011
Comparative StudyLower extremity soft tissue reconstruction with free flap based on subscapular artery.
The purpose of our study was to evaluate the results of the reconstruction of the lower extremity defects with free flaps based on the subscapular artery. ⋯ The subscapular vascular system based flaps have an optimal vascularity once they are prepared with adequate pedicles, causing minimal donor site morbidity. These flaps are a safe and effective alternative in lower extremity reconstruction. On the other hand, in the absence of appropriate recipient vessels, single or combined cross-leg free flaps may provide successful repair.
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Acta Orthop Traumato · Jan 2011
Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw.
The aim of this study was to assess the outcome of coracoclavicular screw fixation in displaced distal clavicular fractures. ⋯ Coracoclavicular screw fixation in the treatment of distal clavicular fractures is a reliable, simple and cost effective technique.
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Acta Orthop Traumato · Jan 2011
Comparative StudyA new technique in the treatment of distal radius fractures: the Micronail®.
In 2006, an intramedullar titanium osteosynthesis for the stabilization of distal radius fractures was introduced in The Netherlands: the Micronail®. The Micronail® can be used in approximately 30% of distal radius fracture treatments. This article presents the introduction of this new treatment, and first clinical results. ⋯ The first results of Micronail® are promising. It has the advantages of other operative techniques (minimally invasive, stable, intramedullar) without their known disadvantages. Short immobilization is sufficient, after which full load-carrying exercises are indicated.
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Acta Orthop Traumato · Jan 2011
A new index for the assessment of distal radius fractures involving the ulnar styloid.
The aim of this retrospective study was to evaluate the relation between a new index we created for the assessment of distal radius fractures involving the ulnar styloid, and the clinical outcome. ⋯ Our results suggested that the RSI can be used as a predictor of the clinical outcome in patients with distal radius fractures involving the ulnar styloid.
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Acta Orthop Traumato · Jan 2011
Randomized Controlled Trial Comparative StudyComparison between operative and nonoperative treatment methods in the management of comminuted fractures of the clavicle.
To evaluate the outcome and satisfaction of closed treatment versus open reduction and internal fixation in comminuted clavicular fractures. ⋯ Open reduction and internal fixation of comminuted fractures of the clavicle using a reconstruction plate is an effective treatment modality. Despite the variety of complications, this method has a higher satisfaction rate than conservative treatment.