Journal of orthopaedic trauma
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Clinical Trial
The effect of acute distal radioulnar joint laxity on outcome after volar plate fixation of distal radius fractures.
The objective of this study was to determine whether intraoperative laxity of the distal radioulnar joint (DRUJ) is associated with adverse postoperative outcomes after volar plate fixation of a distal radius fracture (DRF) and 4 weeks of immobilization. ⋯ Prognostic level I.
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Multicenter Study Comparative Study
A comparison of more and less aggressive bone debridement protocols for the treatment of open supracondylar femur fractures.
This study compared results of aggressive and nonaggressive debridement protocols for the treatment of high-energy, open supracondylar femur fractures after the primary procedure, with respect to the requirement for secondary bone grafting procedures, and deep infection. ⋯ Therapeutic level III.
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The aim of the present study was to determine whether 3-dimensional (3D) fluoroscopic navigation combined with a preoperative computer tomography (CT)-based plan could enable surgeons to perform safe and reliable iliosacral screw insertion despite their limited experience. ⋯ The CT-3D-fluoroscopy matching navigation system reduced the malposition rate of percutaneous iliosacral screw insertion when performed by less experienced surgeons.
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The optimal exposure interval for anteromedial coronoid fractures is unknown. The purpose of this study was to quantitatively compare the osseous and ligamentous exposure of the medial elbow using the flexor carpi ulnaris (FCU)-Splitting and Hotchkiss Over-the-Top approaches. ⋯ The FCU-Splitting approach provides more extensive exposure of the anteromedial coronoid and proximal ulna and the medial ligamentous structures than the Hotchkiss Over-the-Top approach.
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To evaluate the effects of implementing a multidisciplinary geriatric hip fracture program on clinical outcome measures at our institution. ⋯ Therapeutic level III.