Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
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Acta Chir Orthop Traumatol Cech · Jan 2012
[Surgical treatment for factures of the neck and body of the talus].
To present a retrospective evaluation of the results of our method of open reduction and internal fixation. ⋯ Surgical management of dislocated talar neck and body fractures by open reduction and osteosynthesis does not achieve very good results. The definitive treatment should be carried out by an experienced surgeon and at a department with routine performance of these procedures. The results show that a delayed treatment by open reduction and stable osteosynthesis has better long-term outcomes than a rash acute operation done by an incomplete or less experienced operating team.
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Acta Chir Orthop Traumatol Cech · Jan 2012
[The influence of patient age and mechanism of injury on the type of pelvic fracture: epidemiological study].
The patients with pelvic ring injury involve two groups: 1) young and middle-age persons, mostly men, with serious injury to the pelvic ring due to high-energy trauma; and 2) older patients, mostly women, with osteoporotic fractures due to a simple fall. The aim of this study was to show significant differences in the selected epidemiological characteristics between these two groups. ⋯ The evaluation of epidemiological data in this study allows us to conclude that younger men are those most frequently sustaining pelvic injuries due to high-energy trauma and that old age (80+) is characteristic for patients of both sexes, with female sex predominance, who have fractures due to simple falls. These findings give support to the concept that, in a group of patients with pelvic injuries, a subgroup with fractures different in terms of epidemiology and aetiology (osteoporotic fracture) can be identified.