The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Oct 2005
Randomized Controlled Trial Comparative Study Clinical TrialShould acute scaphoid fractures be fixed? A randomized controlled trial.
With the proliferation of different fixation screws, there is an increasing trend to recommend early internal fixation of the broken scaphoid even if the fracture is not displaced. The benefits and risks of early fixation of scaphoid fractures have not been established. These were investigated in eighty-eight patients who were of working age with clearly defined minimally displaced or undisplaced bicortical fractures of the waist of the scaphoid. ⋯ Therapeutic Level I.
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J Bone Joint Surg Am · Oct 2005
Randomized Controlled Trial Comparative Study Clinical TrialQuality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial.
Both total shoulder arthroplasty and hemiarthroplasty have been used commonly to treat severe osteoarthritis of the shoulder; however, their effect on disease-specific quality-of-life outcome is unknown. The purpose of this study was to compare the quality-of-life outcome following hemiarthroplasty with that following total shoulder arthroplasty in patients with osteoarthritis of the shoulder. ⋯ Therapeutic Level I.
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J Bone Joint Surg Am · Oct 2005
Randomized Controlled Trial Comparative Study Clinical TrialCementless calcar-replacement hemiarthroplasty compared with intramedullary fixation of unstable intertrochanteric fractures. A prospective, randomized study.
Unstable intertrochanteric fractures in elderly patients are associated with a high rate of complications. The purpose of this investigation was to compare the results of long-stem cementless calcar-replacement hemiarthroplasty with those of treatment with a proximal femoral nail for unstable intertrochanteric fractures in elderly patients. ⋯ Therapeutic Level I.
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J Bone Joint Surg Am · Oct 2005
Trochanteric-entry long cephalomedullary nailing of subtrochanteric fractures caused by low-energy trauma.
Subtrochanteric fractures of the femur that are caused by low-energy trauma are less common than other proximal femoral fractures, but they occur in a similar population of elderly individuals, who are often socially dependent and medically frail. Although a wide range of operative techniques have been used, cephalomedullary nailing theoretically provides the most minimally invasive and biomechanically stable means of treating these complex fractures. The purpose of the present review was to evaluate the functional outcome and perioperative complications associated with the use of a trochanteric-entry cephalomedullary nail to treat all low-energy subtrochanteric fractures that were seen at a single institution. ⋯ Therapeutic Level IV.