Injury
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Up to 25% of acetabular fractures have poor functional outcomes in short-term follow-up. The aim of our study is to analyze predictors related to poor outcome in surgically treated acetabular fractures. Damage to the femoral head cartilage and poor fracture reduction has been reported as predictors to total hip arthroplasty (THA). ⋯ Femoral head damage and dislocation, fracture reduction, and seagull sign were the strongest predictors related to THA after surgical treatment of acetabular fractures.
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Observational Study
Hip fractures in cyclist - a six-year cohort study at a single large volume trauma centre.
Cycling has gained in popularity as a recreational activity and method or travel, in part due to its recognised health benefits in maintenance of good cardiovascular strength and also for environmental issues. As a consequence of this, there is unfortunately an increased number of cycling related injuries. One particular injury incurred is a proximal femoral fracture, but there is little information in the literature with regarding this and its management. ⋯ One patient continued to complain of pain and subsequently underwent a total hip arthroplasty. The mean follow up for these patients was 1033 days (range 1 year to 7 years). 47 (94%) had full return back to pre-injury levels. Given that cycling is likely to increase in the future, we recommend that early surgical fixation is a viable and functionally positive treatment management in these particular group of patients.
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A pilot study to evaluate the face & construct validity of an orthopaedic virtual reality simulator.
This study aimed to identify the face and construct validity of the Precision OS trauma module proximal femoral nail procedure. Secondary outcomes included perceived use of simulation in surgical training, with structured feedback from participants. ⋯ The proximal femoral nail module on the Precision OS platform demonstrated good face, and construct validity. Further research evaluating use of virtual platform simulation in surgical trauma training is needed.
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Acetabular fracture open reduction and internal fixation (ORIF) is generally associated with high intraoperative blood loss. Hypotensive anesthesia has been shown to decrease blood loss and intraoperative transfusion in total joint arthroplasty and posterior spinal fusion. In this study, we assessed the effect of reduction in intraoperative mean arterial pressures (MAPs) during acetabular fracture surgery on intraoperative blood loss and need for transfusion. ⋯ Therapeutic Level III.
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Observational Study
CT mapping for complex tibial pilon fractures: Understanding the injury pattern and its relation to the approach choice.
To map OTA/AO type 43C3 tibial pilon fractures by means of computed tomography and analyze the difference between varus and valgus fractures. We hypothesized that valgus fractures are less frequent than varus, and the affected zones of the tibial pilon are different among the patterns. ⋯ The typical profile of the patient with a pilon fracture is age ranging from 27 to 57 years, male, with fibular fracture, and the injury affecting two or three pilon zones, with zones 6, 1, and 3 being the most affected ones. There is no typicality regarding the valgus or varus fracture displacement, although a difference was found in zone 1.