Articles: fracture-fixation.
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Randomized Controlled Trial Comparative Study
A randomized comparison of bone-cement K-wire fixation vs. plate fixation of shaft fractures of proximal phalanges.
The objective of this study (ClinicalTrials.gov ID: NCT03031015) is to compare the treatments of hand proximal phalanx shaft fractures with external-fixation technique using the combination of K-wires and bone-cement vs. open reduction and internal fixation technique using a miniature plate-and-screw system. ⋯ The bone-cement K-wire fixation may be another option for the treatment of shaft fractures of proximal phalanges. The minimally invasive technique allows early joint motion, resulting in minimal complications and good functional recovery.
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Randomized Controlled Trial Comparative Study
Additional Sacroplasty Does Not Improve Clinical Outcome in Minimal-Invasive Navigation-Assisted Screw Fixation Procedures for Non-Displaced Insufficiency Fractures of the Sacrum.
Prospective single-center cohort study (noninferiority study). ⋯ 2.
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Musculoskeletal surgery · Apr 2019
Randomized Controlled TrialHand function outcome in closed small bone fractures treated by open reduction and internal fixation by mini plate or closed crossed pinning: a randomized controlled trail.
No study in literature clearly gives advantage of one method of surgical fixation of fracture over the other in metacarpal and phalangeal bones of hand comparing wider outcome measures. ⋯ Level I Therapeutic study.
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Randomized Controlled Trial
Proximal humeral internal locking plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures: A randomized study.
The aim of this study was to investigate the effectiveness of the proximal humeral internal locking system (PHILOS) plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures. ⋯ Proximal humerus fractures treated with the combination of the PHILOS and custom neutral-position shoulder and elbow sling for 30 days after operation was associated with a lower incidence of internal fixation failure. There was no increase in adverse events compared with open reduction and internal fixation with a PHILOS plate alone.
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Randomized Controlled Trial
A prospective randomized trial of 100 patients using trochanteric support plates; worth their mettle?
To compare the radiological and clinical results of sliding hip screw (SHS) fixation with or without a Trochanteric Support Plate (TSP) on unstable three-or-more-part trochanteric fractures. ⋯ This study cannot confirm that TSP has any beneficial effects on unstable three-or-more-part trochanteric fractures. If any effect at all, the difference is most likely slight and clinically irrelevant.