Journal of orthopaedic trauma
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Randomized Controlled Trial Multicenter Study Comparative Study
A prospective randomized multicenter trial comparing clinical outcomes of patients treated surgically with a static or dynamic implant for acute ankle syndesmosis rupture.
To compare the clinical and radiographic outcome after stabilization of an acute syndesmosis rupture with either a static implant (a 3.5-mm metallic screw through 4 cortices) or a dynamic device (TightRope; Arthrex). ⋯ Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
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Randomized Controlled Trial Multicenter Study
A double-blind, randomized controlled trial of the prevention of clinically important venous thromboembolism after isolated lower leg fractures.
Among patients with isolated below-knee fractures, previous studies have detected asymptomatic deep vein thrombosis in 10%-40% using contrast venography. However, the clinical relevance of these thrombi is unknown; there is considerable uncertainty about the risk: benefit of routine thromboprophylaxis and clinical practice guidelines differ in their recommendations. ⋯ Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
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Review Meta Analysis
Outcomes of Talar Neck Fractures: A Systematic Review and Meta-analysis.
To report the rates of osteonecrosis and subtalar arthritis after talar neck fractures and to examine if rates have changed over time. ⋯ The overall rate of osteonecrosis was 0.312. Rates for Hawkins' types I-IV were 0.098, 0.274, 0.534, and 0.480, respectively. The mean rate of subtalar arthritis was 0.49 but increased to 0.81 in studies with >2 years of follow-up. Complication rates are high in talar neck fractures, and patients should be counseled accordingly.
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Comparative Study
Anatomic Fixation of Supination External Rotation Type IV Equivalent Ankle Fractures.
To compare radiographic and clinical outcomes of supination external rotation type IV equivalent (SER IV E) ankle fractures (AO/OTA classification 44-B2.1) treated with transsyndesmotic screw fixation with those treated with deltoid and posterior inferior tibiofibular ligament (PITFL) repair. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Comparative Study
Deltoid ligament repair versus syndesmotic fixation in bimalleolar equivalent ankle fractures.
To compare the outcomes of bimalleolar equivalent ankle fractures treated with lateral malleolus open reduction and internal fixation (ORIF) with transsyndesmotic fixation versus lateral malleolus ORIF with deltoid ligament repair. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.