Journal of orthopaedic trauma
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To determine problems associated with and to present the results of secondary total hip replacement for complications of proximal femoral fractures. ⋯ Total hip replacement is a satisfactory salvage procedure for failed fracture treatment despite the increased incidence of operative difficulty and increased incidence of complication.
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To describe the course of the infrapatellar branch of saphenous nerve (IPBSN) and define a risk zone in which the nerve would probably be located. ⋯ Avoiding the risk zone in which the nerve would probably be located and performing a blind puncture or an arthrotomy within the safety zone may decrease the incidence of IPBSN injury.
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To determine the prevalence of gunshot wound related orthopaedic injuries in an urban trauma center and outline the socioeconomic background of this patient population. ⋯ During the period of this study, gunshot wound injuries required more orthopaedic trauma resources than any other single diagnosis.
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Anterior subtalar dislocations are extremely rare. To our knowledge, only four cases have been reported in detail in the literature. A diagnosis of anterior subtalar dislocation should be confirmed by an anteroposterior view radiograph because lateral subtalar dislocation always includes some anterior displacement of the mid-foot. We report a case of anterior subtalar dislocation confirmed by both lateral and anteroposterior view radiographs and discuss its pathomechanism, diagnosis, and treatment.
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To review our experience with nonoperative versus operative management of patients with patellar delayed union or nonunion. ⋯ Our findings suggest that patients with minimally symptomatic delayed union or nonunion of the patella can be successfully treated nonoperatively with the knowledge that the fracture will not unite. Operative management of symptomatic patients can be expected to achieve union and increase function of the knee.