Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Aug 2012
Is application of an internal anterior pelvic fixator anatomically feasible?
Spinal hardware has been adapted for fixation in the setting of anterior pelvic injury. This anterior subcutaneous pelvic fixator consists of pedicle screws placed in the supraacetabular region connected by a contoured connecting rod placed subcutaneously and above the abdominal muscle fascia. ⋯ Level IV, retrospective study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Reason for revision influences early patient outcomes after aseptic knee revision.
Revision TKA less consistently produces improvements in clinical function and quality of life when compared with primary TKA. The reasons for this difference are unclear. ⋯ Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Meta Analysis Comparative StudyTotal hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures: meta-analysis of randomized trials.
Most patients with displaced femoral neck fractures are treated by THA and hemiarthroplasty, but it remains uncertain which if either is associated with better function and lower risks of complications. ⋯ Despite more dislocations, THA can benefit patients with displaced femoral neck fractures with a lower reoperation rate and higher functional scores.
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Clin. Orthop. Relat. Res. · Aug 2012
Multicenter StudyRadiographic changes of implant failure after plating for pubic symphysis diastasis: an underappreciated reality?
Implant failure after symphyseal disruption and plating reportedly occurs in 0% to 21% of patients but the actual occurrence may be much more frequent and the characteristics of this failure have not been well described. ⋯ Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence.