Articles: fracture-fixation.
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J Shoulder Elbow Surg · Jun 2020
Multicenter StudyCan low-profile double-plate osteosynthesis for olecranon fractures reduce implant removal? A retrospective multicenter study.
Because of poor soft-tissue coverage at the proximal ulna and prominent posteriorly positioned implants, hardware removal remains the most common reason for revision surgery of olecranon fractures that were operatively treated using plate osteosynthesis. We hypothesized that low-profile double-plate osteosynthesis would reduce the number of soft tissue-related hardware removals compared with single posterior plating whereas the functional results would be comparable. ⋯ Low-profile double-plate osteosynthesis for treating olecranon fractures resulted in good clinical outcomes. However, the rate of hardware removal was not significantly reduced, and the functional results were comparable to those of common single-posterior plate osteosynthesis.
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Multicenter Study
Functional outcome 3-6 years after operative treatment of closed Weber B ankle fractures with or without syndesmotic fixation.
To compare the long-term functional outcomes of patients surgically treated for Weber B ankle fractures with or without syndesmotic fixation. ⋯ In multivariable analysis, patients with a syndesmotic fixation had no worse long-term functional outcomes than those without syndesmotic fixation.
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Randomized Controlled Trial Multicenter Study Comparative Study
Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial.
Humeral shaft fractures traditionally have been treated nonsurgically, but there has been a steady increase in the rate of surgery over the past 2 decades without high-quality evidence to justify the trend. ⋯ Among patients with closed humeral shaft fracture, internal fixation surgery, compared with nonoperative functional bracing, did not significantly improve functional outcomes at 12 months. However, the substantial amount of treatment crossover from nonoperative to surgical treatment should be considered when interpreting the trial results.
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Multicenter Study Observational Study
The effective dose due to scattered radiation at patients during primary osteosynthesis; a multicenter prospective observational study.
During osteosynthesis of a fracture patients are exposed to the primary radiation of an X-ray image and scattered (secondary) radiation. The primary objective was to measure the amount of scattered radiation at the thyroid, breast tissue, and gonads of patients undergoing primary osteosynthesis of acute fractures. The secondary objective was to calculate the effective dose caused by scattered radiation. ⋯ This is the first study that presents that no radiation protection for patients undergoing an osteosynthesis is necessary.
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Multicenter Study Comparative Study
Long-term outcomes after open reduction and internal fixation of bicondylar tibial plateau fractures.
To establish normative data, long-term patient-reported functional outcome and health-related quality of life (HrQoL) after operative treatment of bicondylar tibial plateau fractures. Secondly, to identify risk factors associated with functional outcome and HrQoL. ⋯ Therapeutic Level III.