The Orthopedic clinics of North America
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Orthop. Clin. North Am. · Apr 2002
Minimally invasive options for the treatment of osteoporotic vertebral compression fractures.
The recent introduction of vertebroplasty and kyphoplasty provide minimally invasive methods to alleviate symptoms from vertebral fractures. While both methods are successful in addressing fracture related pain, only the kyphoplasty can partially restore structural alignment and height.
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High energy pelvic ring disruptions are associated with numerous primary organ system injuries. Early, accurate pelvic reduction and stable fixation optimize patient outcome. A variety of fixation techniques have been advocated. A multispecialty team approach is advantageous when managing these patients and their pelvic injuries.
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Orthop. Clin. North Am. · Apr 2001
ReviewReconstruction of the posttraumatic unstable distal radioulnar joint.
Although not a common problem, the posttraumatic unstable distal radioulnar joint can be difficult to treat. This article focuses on the various methods for reconstruction of the unstable distal radioulnar joint. Attention focuses specifically on anatomic reconstruction of distal radioulnar ligaments. The authors' technique is presented in detail.
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In the past, foot injuries in patients with multiple trauma were thought to be of lesser importance than fractures of long bones. In one prospective study from the authors' institutions, however, multiple-trauma patients with foot injuries were shown to have a poorer functional outcome compared with matched controls. ⋯ The treatment of specific injuries is beyond the scope of this article, but an approach is highlighted that can be remembered when decisions are made regarding these severely injured patients. The second part reviews the findings from the authors' study, focusing on functional outcomes of multiple-trauma patients with foot injuries.
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Orthop. Clin. North Am. · Jan 2001
Soft tissue reconstruction for calcaneal fractures or osteomyelitis.
A systematic approach of the surgical management of a calcaneal fracture can minimize the potential of soft tissue complications. When reducing a closed calcaneal fracture, the incision used affects the postoperative complications. The L-shaped incision with the horizontal limb lying on the lateral glabrous junction ensures maximum blood flow to either side of the incision. ⋯ If the local muscle is inadequate, a microsurgical free flap has to be used. The VAC sometimes can convert a large wound to a smaller wound so that a local muscle flap can be used. This procedure takes time, however, and adds to the cost of the repair.