Journal of orthopaedic trauma
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To determine the reliability of the Orthopaedic Trauma Association (OTA) Open Fracture Classification. ⋯ This study, which included a diverse multicenter multinational cohort of orthopaedic surgeons and residents, of the OTA Open Fracture Classification demonstrated moderate to excellent interobserver reliability.
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We hypothesized that early definitive management (within 24 hours of injury) of mechanically unstable fractures of the pelvis, acetabulum, femur and spine would reduce complications and shorten length of stay. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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The orthopaedic trauma-related blood product usage is largely unknown. Aim of this study was to describe the epidemiology of early (<24 hours of arrival) blood component use in major orthopaedic trauma. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Clinical Trial
Subtrochanteric fractures: treatment with cerclage wire and long intramedullary nail.
Fracture malalignment and nonunion are not infrequent after treating subtrochanteric fractures with intramedullary nails. The use of a cerclage wire with a minimally invasive approach to aid and maintain reduction in certain subtrochanteric fracture patterns can be an effective surgical strategy to improve outcome. ⋯ This has the added advantage of optimizing the greater trochanteric starting point. It minimizes malreductions of the proximal femoral fragment, and, we believe, that its rational use with a minimally invasive technique is a key factor in achieving good results.
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To analyze factors influencing the reoperation rate due to fracture healing complications after internal fixation of Garden I and II femoral neck fractures with special reference to a new validated method assessing the preoperative posterior tilt on lateral radiographs. ⋯ Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.