Zeitschrift für Orthopädie und Unfallchirurgie
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Comparative Study
[Outpatient treatment of metacarpal and phalangeal fractures leads to similar outcomes compared to inpatient treatment].
Metacarpal and phalangeal fracture fixation may be conducted in ambulatory or inpatient settings. However, to date, little is known about the outcomes of the surgical treatment of metacarpal and phalangeal fractures in the two population groups. The aim of this study was to compare the surgical outcomes of patients undergoing treatment for metacarpal and phalangeal fractures in the ambulatory setting as compared to those in in-hospital settings. ⋯ The most common complication was postoperative infection with six cases (three inpatients; three outpatients). Outpatient surgical treatment of metacarpal and phalangeal fractures results in similar outcomes compared to inpatient treatment. Outpatient treatment of metacarpal and phalangeal fractures should be considered whenever possible.
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The purpose of this prospective observational study was to evaluate the clinical efficacy of nerve decompression in bony foraminal stenosis in different pathoanatomical circumstances. ⋯ Foraminal decompression alone for leg-dominant symptoms is a clinically effective procedure in the majority of patients without differences in the four pathoanatomic groups.
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Practical training on clinical cases and work with patients is one of the most important steps within the educational programme of undergraduates. Until now a general programme with specific learning targets for undergraduate training in orthopedic and trauma surgery is lacking. ⋯ The presented learning programme contains chapters regarding the increasing requirements within the field of orthopaedic and trauma surgery and provides reproducible contents with the possibility for learning control.