Articles: fracture-fixation.
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Clin. Orthop. Relat. Res. · Apr 2016
Multicenter Study Comparative StudyObjective Structured Assessments of Technical Skills (OSATS) Does Not Assess the Quality of the Surgical Result Effectively.
Performance assessment in skills training is ideally based on objective, reliable, and clinically relevant indicators of success. The Objective Structured Assessment of Technical Skill (OSATS) is a reliable and valid tool that has been increasingly used in orthopaedic skills training. It uses a global rating approach to structure expert evaluation of technical skills with the experts working from a list of operative competencies that are each rated on a 5-point Likert scale anchored by behavioral descriptors. Given the observational nature of its scoring, the OSATS might not effectively assess the quality of surgical results. ⋯ New objective, reliable, and clinically relevant measures of the quality of the surgical result obtained by a trainee are urgently needed. For intraarticular fracture reduction and extraarticular fracture fixation, direct physical measurement of reduction quality and of mechanical integrity of fixation, respectively, meet this need.
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Randomized Controlled Trial Multicenter Study
Reaming Does Not Affect Functional Outcomes After Open and Closed Tibial Shaft Fractures: The Results of a Randomized Controlled Trial.
We sought to determine the effect of reaming on 1-year 36-item short-form general health survey (SF-36) and short musculoskeletal function assessment (SMFA) scores from the Study to Prospectively Evaluate Reamed Intramedullary Nails in patients with Tibial Fractures. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
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Multicenter Study
Extensor Pollicis Longus Ruptures Following Distal Radius Osteotomy Through a Volar Approach.
To investigate the cause and pathological process of extensor pollicis longus (EPL) ruptures after correction of distal radius malunion through a volar approach. ⋯ Therapeutic IV.
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Multicenter Study
Minimally invasive plate osteosynthesis in proximal humeral fractures: one-year results of a prospective multicenter study.
The aim of this multicentric study was to evaluate results of minimally invasive plate osteosynthesis (MIPO) for proximal humeral fractures in terms of postoperative shoulder function, radiological outcome and number of complications. ⋯ The MIPO technique for proximal humeral fractures was safe and reproducible for most common patterns of fracture. Major complication rate was apparently low due to a soft tissue sparing, deltoid muscle and circumflex vessels, with easy access of the bar area to correct positioning of the plate.
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Multicenter Study Controlled Clinical Trial
Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures.
To reduce the complication rate associated with open reduction and internal fixation of displaced intraarticular calcaneal fractures through extensile approaches, a locking nail system (C-Nail) was developed for internal fixation. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.