Articles: fracture-fixation.
-
Multicenter Study Clinical Trial
First clinical results of the Locking Compression Plate (LCP).
The Locking Compression Plate (LCP) is a new screw-plate system that offers the possibility of inserting conventional and locking head screws into the specially designed combination holes. It represents a further development of the PC-Fix and the LISS and was released for clinical application in March 2000. In a prospective multicentre study, the new system was used to treat 144 patients (f: 67, m: 77; average age: 51.4 years) with 169 fractures: of these, 57 were tibial fractures, 45 humerus, 19 radius and 18 femoral. ⋯ The new system can be regarded as technically mature. It offers numerous fixation possibilities and has proven its worth in complex fractures situations and in revision operations after the failure of other implants. A good knowledge of biomechanics is essential as well as precise preoperative planning.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Costs of internal fixation and arthroplasty for displaced femoral neck fractures: a randomized study of 68 patients.
We included in a prospective, randomized study 68 patients aged 70 years or older, with displaced cervical hip fractures. The patients were randomized to internal fixation with hook-pins (36) or primary arthroplasty (32) (total or hemiarthroplasty due to their prefracture status) and followed for 2 years. Patients with rheumatoid arthritis, mental confusion and/or residence in an institution were excluded. ⋯ The mean 2-year cost for a patient with internal fixation was USD 21,000 and of one with primary arthroplasty USD 15,000. We conclude that primary arthroplasty is a cost-efficient treatment. Considering the very much higher failure rate after internal fixation--leading to increased suffering for these patients--primary arthroplasty stands out as the best method for displaced fractures of the femoral neck.
-
J Bone Joint Surg Am · May 2003
Multicenter StudyGradual femoral lengthening with the Albizzia intramedullary nail.
Gradual limb lengthening with currently used external fixation techniques can result in less than optimal outcomes, with complications including infection, stiffness of adjacent joints, and secondary axial deviation of the extremity. We describe a totally implantable lengthening device designed to provide results similar to those achieved with external fixation devices, with fewer complications and improved outcomes. ⋯ Femoral lengthening with use of the minimally invasive Albizzia technique provides a reasonable alternative to external fixation that is well tolerated by patients and results in excellent function with little or no distortion of body image.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Complications following management of displaced intra-articular calcaneal fractures: a prospective randomized trial comparing open reduction internal fixation with nonoperative management.
To report on all complications experienced by patients with displaced intra-articular calcaneal fractures (DIACFs) following nonoperative management or open reduction internal fixation (ORIF). ⋯ Complications occur regardless of the management strategy chosen for DIACFs and despite management by experienced surgeons. Complications are a cause of significant morbidity for patients. Outcome scores in this study tend to support ORIF for calcaneal fractures. However, ORIF patients are more likely to develop complications. Certain patient populations (WCB and Sanders type IV) developed a high incidence of complications regardless of the management strategy chosen.
-
Multicenter Study Comparative Study
[Supracondylar humerus fracture in childhood--an efficacy study. Results of a multicenter study by the Pediatric Traumatology Section of the German Society of Trauma Surgery--II: Costs and effectiveness of the treatment].
The following are the results and conclusions of a retrospective research study done on 886 patients with supracondylar fractures of the humerus. The study evaluates how effective the treatment procedures of the fractures are. The patients' fractures were categorized into four groups. ⋯ The patient will be hospitalized for a short period. The blount procedure will not be sufficient for this type of fracture. Therapy and procedure will be translated put in a perspective research study.