Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · May 2004
Review Comparative StudyThe treatment of fractures of the femur in patients with head injuries. 1973.
-
Clin. Orthop. Relat. Res. · May 2004
Review Comparative StudyAcute knee dislocations and their complications. 1969.
-
Clin. Orthop. Relat. Res. · May 2004
Review Comparative StudyPulmonary aspects of treatment of long bone fractures in the polytrauma patient.
During the past decade, there have been significant advances in the treatment of long bone fractures in the polytraumatized patient. The major controversy in this area is whether definitive long bone stabilization needs to be done emergently. ⋯ The major benefits of fixation are: (1). improve mobilization to enhance pulmonary function; (2). decreased narcotic requirements with improved pain control after fixation; and (3). early aggressive fluid resuscitation associated with operative intervention. Patients with multisystem injury who are underresuscitated or are unstable should have early external fixation because temporizing skeletal stabilization until definitive fixation can be done.
-
Clin. Orthop. Relat. Res. · Apr 2004
Comparative StudyHigher cumulative revision rate of knee arthroplasties in younger patients with osteoarthritis.
This study was designed to test the hypothesis that younger patients treated for osteoarthritis and similar conditions using total knee arthroplasty and unicompartmental knee arthroplasty have a lower implant survival rate when compared with older patients. Previous studies have been done on a small number of patients and only included the younger patients. In many cases patients treated for rheumatoid arthritis have been included in the studies and exceptional survival rates have been reported. ⋯ The results showed a higher cumulative revision rate for the group of younger patients in all statistical analyses and the risk ratio for revision was significantly lower for the group of older patients. The risk for revision decreased for both groups when considering the year of surgery. This is probably attributable to better implant components and surgical techniques.