Journal of orthopaedic trauma
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Randomized Controlled Trial Comparative Study Clinical Trial
Tricortical versus quadricortical syndesmosis fixation in ankle fractures: a prospective, randomized study comparing two methods of syndesmosis fixation.
To assess short-term functional results in 2 types of syn-desmotic fixation, comparing the traditional rigid quadricortical syndesmotic screw fixation with a more dynamic tricortical screw fixation. ⋯ Syndesmosis fixation with 2 tricortical screws is safe and improves early function. After 1 year, however, there were no significant differences between the 2 groups in functional score, pain, and dorsiflexion.
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Multicenter Study
The effect of perioperative anemia on clinical and functional outcomes in patients with hip fracture.
To describe the epidemiology of perioperative anemia in patients with hip fracture and assess the relationship between the hemoglobin measurements and clinical outcomes. ⋯ Substantial declines in hemoglobin were common in patients with hip fracture. Higher preoperative hemoglobin was associated with shorter length of stay and lower odds of death and readmission within 60 days of discharge. Postoperative hemoglobin was also related to length of stay and readmission rates.
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A modified ilioinguinal approach for acetabular fractures is presented. The approach allows surgical exposure of the anterior column as well as the contralateral rami, the symphysis pubis, and the medial wall of the acetabulum. Direct access to the quadrilateral surface and retroacetabular surface for plate or screw application is also possible.
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To assess the efficacy of the long Gamma nail in the treatment of subtrochanteric nonunions. ⋯ Subtrochanteric nonunion can be treated effectively using the long Gamma nail for skeletal stabilization, following removal of previously implanted devices.
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To evaluate the results of open reduction and ulnar osteotomy on missed Monteggia fractures in children. ⋯ This operation-open reduction of the radial head and osteotomy of the ulna-results in an excellent outcome for a missed Monteggia fracture in children.