Journal of orthopaedic trauma
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Randomized Controlled Trial Multicenter Study Comparative Study
Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial.
To compare clinical and functional outcomes after operative and nonoperative treatment of undisplaced, unstable, isolated fibula fractures. ⋯ Patients managed operatively had equivalent functional outcomes compared with nonoperative treatment; however, the risk of displacement and problems with union was substantially lower in patients managed with surgery.
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To determine the incidence, severity, and etiology of anterior knee pain after tibial intramedullary (IM) nailing using a medial paratendinous approach and to investigate the association between anterior knee pain and functional impairment. ⋯ Therapeutic Level IV. See page 128 for a complete description of levels of evidence.
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This study looks at the treatment of 16 cases of infection in long bone fractures that had an adverse effect on healing. The goal was to find a method that may be effective in getting these most difficult injuries to heal. The use of reinforced antibiotic-impregnated bone cement rods was studied to see if this could be an effective form of treatment. The use of such devices makes sense because they provide stability that the fractures need for healing while also providing a high concentration of antibiotics locally. The concept was to reduce the amount of metal used for stability while still giving the fracture the correct milieu for healing. ⋯ Therapeutic Level IV. See page 128 for a complete description of levels of evidence.