Articles: fracture-fixation.
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Multicenter Study
Hybrid external fixation in the treatment of tibial pilon fractures: A retrospective analysis of 162 fractures.
To determine the efficacy of hybrid external fixation in the treatment of tibial pilon fractures. ⋯ Level IV Case series.
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Multicenter Study
Unstable Proximal Femur Fractures Treated With Proximal Femoral Locking Plates: A Retrospective, Multicenter Study of 111 Cases.
A few small case series have found that proximal femur fractures treated with a proximal femur locking plate (PFLP) have experienced more failures than expected. The purpose of this study was to review the clinical results of patients with acute, unstable proximal femur fractures treated with proximal femoral locking plates in a large, multicenter patient cohort. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Multicenter Study
The Effect of Transiliac-Transsacral Screw Fixation for Pelvic Ring Injuries on the Uninjured Sacroiliac Joint.
To evaluate the functional outcomes and pain in patients with unilateral posterior pelvic ring injuries treated with transiliac-transsacral screw fixation compared with unilateral iliosacral screw fixation. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Multicenter Study
Incidence and risk factors for removal of an internal fixation following surgery for ankle fracture: A retrospective cohort study of 997 patients.
Implant removal in ankle fractures treated by open reduction and fixation is often based on diffuse complaints. This study determined the incidence of implant removal and identified risk factors for two principal causes for removal: complaints and surgical site infection (SSI). ⋯ In total 17% of patients had implant removal after open reduction and fixation; the majority because of subjective complaints. The risk factors for implant removal were different for removal due to complaints than for those removed due to infection. This information may be used to inform patients about the risk and risk factors for future implant removal.
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Multicenter Study
Geriatric distal femur fracture: Are we underestimating the rate of local and systemic complications?
Low energy distal femur fractures often occur in a fragile elderly population that is prone to local and systemic complications following operative treatment of extremity fractures. The nonunion rate and early complication rate following laterally based locked plating in this specific fracture are not well described. ⋯ Level III prognostic.