Journal of orthopaedic trauma
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Assess effectiveness of Injury Severity Score (ISS) in predicting injury severity in combat-related amputations. ⋯ Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Controlled Clinical Trial
The insertion of intramedullary nail locking screws without fluoroscopy: a faster and safer technique.
This study was designed to compare the accuracy, time, and radiation exposure during the insertion of intramedullary nail locking screws using either standard fluoroscopic assistance or an electromagnetic (EM)-based navigational system without fluoroscopy. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Operative management of thoracic injuries is an increasingly accepted technique, with multiple reports of improved patient outcomes as compared with nonoperative treatment. Despite the evolving support of rib fracture fixation, descriptions of surgical approaches and tactics remain limited. We present this information to allow surgeons to begin or improve treatment of these injuries. In addition, we present the initial treatment results of a series of 21 patients treated with the approaches described within.
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The purpose of this investigation is to define the location and frequency of tibia pilon fracture lines and impaction injury for the most severe variety (OTA/AO type 43C3). ⋯ There is a consistent fracture pattern underlying the majority of OTA/AO type 43C3 pilon fractures that could be defined as 3 main fragments: anterior, medial, and posterior. These result from a major fracture line extending from the fibular incisura and exiting anterior and posterior to the medial malleolus. The comminution commonly distinguishing pilon fractures occurs from secondary fracture lines through the apex of the plafond and in the anterolateral region. Knowledge of this constant pattern should influence surgical approaches and possibly implant design.
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Randomized Controlled Trial
Distal locking using an electromagnetic field-guided computer-based real-time system for orthopaedic trauma patients.
To compare the efficacy of distal interlocking during intramedullary nailing using a freehand technique versus an electromagnetic field real-time system (EFRTS). ⋯ Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.