Journal of orthopaedic trauma
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To compare the screw sliding characteristics and biomechanical stability of four-part intertrochanteric hip fractures stabilized with an intramedullary nail using either one large-diameter lag screw (intramedullary hip screw [IMHS]; Smith & Nephew, Memphis, TN) or two small-diameter lag screws (trochanteric antegrade nail [TAN]; Smith & Nephew, Memphis, TN). ⋯ The two constructs showed equivalent rigidity and stability in all parameters assessed in elastic and cyclical tests. The TAN had a greater ultimate failure load.
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The study evaluated the outcome of the treatment of patients who sustained high-energy, compression-type injuries of the distal radius. ⋯ Reduction and plating of the lunate facet in conjunction with standard external fixation permits: 1) visualization and reduction of the palmar lunate facet; and 2) reduction of palmar tilt to neutral tilt without significant radial shortening. This technique should be considered as an acceptable option in the treatment of high-energy fractures of the distal radius.
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Chronic anterior knee pain is a common complication following intramedullary nailing of a tibial shaft fracture. The source of pain is often not known nor is the reason for a simultaneous decrease in thigh muscle strength. Anterior knee pain has also been reported following an anterior cruciate ligament rupture. No previous investigation has assessed whether weakness of the thigh muscles is associated with anterior knee pain following intramedullary nailing of tibial shaft fractures. ⋯ Based on this prospective study, we conclude that anterior knee pain after intramedullary nailing of a tibial shaft fracture, although of multifactorial origin, may be related to deficiency in the flexion strength of the thigh muscles.
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To review our series of open calcaneal fractures compared with other series. ⋯ Our findings do not reflect as high a complication rate for open calcaneal fractures as previously reported. We support previous claims that definitive hardware placement at the time of initial irrigation and debridement probably is not warranted: Definitive fracture stabilization can and should wait until soft tissue coverage is fully assessed.