Injury
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Review Meta Analysis
Routine blood tests as predictors of mortality in hip fracture patients.
The aim of this study was to assess the evidence for the association between different biochemical markers at admission and mortality through a meta-analysis. ⋯ Biochemical markers at admission are valid predictors of mortality in hip fracture patients.
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Randomized Controlled Trial
Does cardiology intervention improve mortality for post-operative troponin elevations after emergency orthopaedic-geriatric surgery? A randomised controlled study.
Troponin elevations are common after emergency orthopaedic surgery and confer a higher mortality at one year. The objective was to determine if comprehensive cardiology care after emergency orthopaedic surgery reduces mortality at one year in patients who sustain a post-operative troponin elevation versus standard care. ⋯ There was no difference in mortality between patients with a post-operative troponin elevation randomised to cardiology care compared with standard care. Troponin elevation predicted one year mortality. Further research is needed to find an effective intervention to reduce mortality.
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Review Meta Analysis Comparative Study
Dynamic versus static external fixation for unstable distal radius fractures: an up-to-date meta-analysis.
Whether dynamic or static external fixation is more appropriate for distal radius fractures is still being debated, our aim is to determine the effect of dynamic versus static external fixation for unstable distal radius fractures in terms of postoperative complication, clinical results and radiological outcomes. ⋯ The final results show that there are some evidences supporting the use of dynamic external fixation, which may also have practical advantages over static fixation by allowing earlier limb mobility during the fixation period and enabling such patients to maintain their independence. Limitations remain, a cost-effectiveness analysis and DASH-score assessments at all follow-up evaluations should be more carefully considered and reported in a reliable, consistent and standardised manner.
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Randomized Controlled Trial
Elastic stockings or Tubigrip for ankle sprain: a randomised clinical trial.
Ankle sprains are common and generally believed to be benign and self-limiting. However, a significant proportion of patients with ankle sprains have persistent symptoms for months or even years. ⋯ Elastic compression improves recovery following ankle sprain.