Articles: fracture-fixation.
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Eur J Trauma Emerg Surg · Dec 2024
Multicenter StudyLack of standardisation in the management of complex tibial plateau fractures: a multicentre experience.
In recent years, the trauma mechanisms and fracture types in tibial plateau fractures (TPF) have changed. At the same time, treatment strategies have expanded with the establishment of new classification systems, extension of diagnostics and surgical strategies. Evidence-based recommendations for treatment strategies are rare. The aim of this study is to assess the extent of standardization in the treatment of complex TPF. ⋯ There are major differences in the management of complex TPF. 360° treatment is carried out in all departments regardless of the level of care, but without further standardization in terms of preoperative imaging, classification, initial treatment, approach, fixation and intraoperative imaging. There are major differences within the departments with different level of care.
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Randomized Controlled Trial Multicenter Study
The effect of anterior support screw (AS2) in unstable femoral trochanteric fractures: A multicenter randomized controlled trial.
This study was conducted to verify the effectiveness of Anterior Support Screw (AS2) for unstable femoral trochanteric fractures. ⋯ Therapeutic Level I.
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To identify risk factors predisposing patients to poor outcomes after fixation of periprosthetic hip fractures around femoral stems. ⋯ Frail periprosthetic hip-fracture patients with poorer functional status, dysfunctional replacements, and postoperative complications are at increased risk of mortality. Postoperative complications are more common in patients with dysfunctional arthroplasties, Vancouver A fractures, and fixation using cerclages alone. Postoperative complications were the most consistent predictor of higher healthcare resource utilization.
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Eur J Trauma Emerg Surg · Oct 2024
Multicenter StudyThe dynamic locking blade plate: seven-year follow-up results of 389 patients with a femoral neck fracture.
This study aimed to investigate the long-term outcomes of patients with a femoral neck fracture (FNF), treated with the Dynamic Locking Blade Plate (DLBP). ⋯ This study is the first long-term follow-up study on the outcome of the DLBP. The DLBP demonstrated positive long-term results in the treatment of FNF.
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Eur J Trauma Emerg Surg · Oct 2024
Multicenter StudyPeri-implant fractures after Intramedullary fixation for femoral trochanteric fracture: a multicenter (TRON Group) study.
With the rise in elderly populations, the incidence of femoral trochanteric fractures has also increased. Although intramedullary nail therapy is commonly used, the incidence of peri-implant fractures (PIFs) as a complication and its associated factors are not fully understood. The purpose of this study was to determine the incidence of PIFs and treatment strategies and outcomes. ⋯ Therapeutic Level IV.