The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · May 2008
Review Comparative StudyThe relationship between the outcome of operatively treated calcaneal fractures and institutional fracture load. A systematic review of the literature.
It has been assumed that outcome after open reduction and internal fixation of displaced intra-articular calcaneal fractures may be affected by the presence of institutional trauma care and the institution's fracture volume. The purpose of this systematic review was to investigate whether a relationship exists between institutional fracture load and the rates of serious infection and subtalar arthrodesis following the treatment of these fractures. ⋯ A significant relationship between the deep infection rate, traumatic subtalar arthritis, and the fracture load may indicate a need for specialized institutional trauma care to improve outcomes associated with the operative treatment of calcaneal fractures.
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J Bone Joint Surg Am · May 2008
Review Comparative StudyThe relationship between the outcome of operatively treated calcaneal fractures and institutional fracture load. A systematic review of the literature.
It has been assumed that outcome after open reduction and internal fixation of displaced intra-articular calcaneal fractures may be affected by the presence of institutional trauma care and the institution's fracture volume. The purpose of this systematic review was to investigate whether a relationship exists between institutional fracture load and the rates of serious infection and subtalar arthrodesis following the treatment of these fractures. ⋯ A significant relationship between the deep infection rate, traumatic subtalar arthritis, and the fracture load may indicate a need for specialized institutional trauma care to improve outcomes associated with the operative treatment of calcaneal fractures.