Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Sep 2015
Review Meta AnalysisAre Volar Locking Plates Superior to Percutaneous K-wires for Distal Radius Fractures? A Meta-analysis.
Distal radius fractures are common, costly, and increasing in incidence. Percutaneous K-wire fixation and volar locking plates are two of the most commonly used surgical treatments for unstable dorsally displaced distal radius fractures. However, there is uncertainty regarding which of these treatments is superior. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · Sep 2015
Review Comparative StudyBlast Injury in the Spine: Dynamic Response Index Is Not an Appropriate Model for Predicting Injury.
Improvised explosive devices are a common feature of recent asymmetric conflicts and there is a persistent landmine threat to military and humanitarian personnel. Assessment of injury risk to the spine in vehicles subjected to explosions was conducted using a standardized model, the Dynamic Response Index (DRI). However, the DRI was intended for evaluating aircraft ejection seats and has not been validated in blast conditions. ⋯ A new model needs to be developed to aid in the design of mine-protected vehicles for future conflicts.
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Clin. Orthop. Relat. Res. · Sep 2015
ReviewWhat Is the Magnitude and Long-term Economic Cost of Care of the British Military Afghanistan Amputee Cohort?
Personal protection equipment, improved early medical care, and rapid extraction of the casualty have resulted in more injured service members who served in Afghanistan surviving after severe military trauma. Many of those who survive the initial trauma are faced with complex wounds such as multiple amputations. Although costs of care can be high, they have not been well quantified before. This is required to budget for the needs of the injured beyond their service in the armed forces. ⋯ Estimates here should be taken as the start of a challenge to develop sustained rehabilitation and recovery funding and provision.
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Clin. Orthop. Relat. Res. · Sep 2015
Deltoid Tuberosity Index: A Simple Radiographic Tool to Assess Local Bone Quality in Proximal Humerus Fractures.
Osteoporosis may complicate surgical fixation and healing of proximal humerus fractures and should be assessed preoperatively. Peripheral quantitative CT (pQCT) and the Tingart measurement are helpful methods, but both have limitations in clinical use because of limited availability (pQCT) or fracture lines crossing the area of interest (Tingart measurement). The aim of our study was to introduce and validate a simple cortical index to assess the quality of bone in proximal humerus fractures using AP radiographs. ⋯ Level IV, diagnostic study.