The Journal of hand surgery, European volume
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J Hand Surg Eur Vol · Oct 2003
Randomized Controlled Trial Clinical TrialThe use of prophylactic flucloxacillin in treatment of open fractures of the distal phalanx within an accident and emergency department: a double-blind randomized placebo-controlled trial.
Open fractures of the distal phalanx commonly present to the Accident and Emergency Department. Controversy surrounds the use of prophylactic antibiotics in treating this injury. A double-blind, prospective, randomized placebo-controlled study was undertaken comparing the use of prophylactic flucloxacillin to placebo in addition to meticulous wound toilet. ⋯ There were three cases of infection in the 98 patients (3%) in the antibiotic group and four cases of infection in the 95 patients (4%) in the placebo group. A difference of proportion test confirmed no significant difference. It is concluded that the addition of prophylactic flucloxacillin to thorough wound toilet and careful soft-tissue repair of open fracture of the distal phalanx confers no benefit.
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J Hand Surg Eur Vol · Oct 2003
Classification of secondary shoulder deformities in obstetric brachial plexus palsy.
Shoulder deformities are the most frequent sequelae of birth palsy. In this paper, previous classification systems for secondary shoulder deformities are reviewed and a new classification is offered.