Articles: fracture-fixation.
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Randomized Controlled Trial Comparative Study
Reducing the potential for tourniquet-associated reperfusion injury.
Investigate a strategy to minimize tourniquet-associated reperfusion injury. ⋯ A staggered tourniquet release was associated with greater haemodynamic stability and reduced the rate of acute systemic metabolic changes associated with limb reperfusion. Reapplication of a tourniquet seemed to halt further reperfusion, providing a window period for patient evaluation and management.
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Randomized Controlled Trial Multicenter Study Comparative Study
A multicentre, prospective, randomised comparison of the sliding hip screw with the Medoff sliding screw and side plate for unstable intertrochanteric hip fractures.
This study aimed to compare the dynamic hip screw (DHS) and Medoff sliding plate (MSP) for unstable intertrochanteric hip fractures. ⋯ The two techniques produced similar results for the clinically important outcomes of the need for further surgery and functional status of the patients at 6 months' follow-up.
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Randomized Controlled Trial Comparative Study
Assessment of the role of fibular fixation in distal-third tibia-fibula fractures and its significance in decreasing malrotation and malalignment.
In the treatment of distal-third tibia/fibula fractures treated by interlocking nailing, the role of fibular fixation is not clearly defined. This study aimed to assess the benefits of fibular fixation in such fractures. ⋯ Fixation of the fibula along with interlocking nailing of the tibia decreases the malalignment of the tibia and malrotation of the ankle in distal-third fractures of the tibia and fibula as compared with only interlocking nailing.
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Randomized Controlled Trial
Locking versus non-locking neutralization plates for treatment of lateral malleolar fractures: a randomized controlled trial.
The reduction of periosteal compression through the use of a locking plate may minimize disturbances of bone blood supply and may improve the rate of bone union. A single-centre, assessor blinded randomized controlled trial was conducted to compare the clinical effectiveness of a locking plate and a non-locking plate. ⋯ No differences were observed in patients with AO/OTA 44B lateral malleolar fractures undergoing fixation with a locking versus non-locking neutralization plate.
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J Orthop Surg (Hong Kong) · Dec 2013
Randomized Controlled TrialProximal femoral locking plate versus dynamic hip screw for unstable intertrochanteric femoral fractures.
To compare the outcome in patients who underwent surgery for unstable intertrochanteric femoral fractures using the proximal femoral locking plate versus the dynamic hip screw (DHS). ⋯ A non-collapsing locking plate achieved bone union in unstable intertrochanteric fractures with lower risks of limb shortening and medialisation of the shaft.