Journal of orthopaedic trauma
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To evaluate the effectiveness of an additional rim plate [3.5-mm precontoured locking compression plate (LCP)] for stabilizing the posterolateral fragment in lateral tibial plateau fractures. ⋯ Our results identified a bare area in the posterolateral corner of the lateral plateau that was unsupported by rafting screws following conventional, 3.5-mm, precontoured LCP plating. Thus, additional rim plating may be useful for treating plateau fractures with a posterolateral fragment.
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To prevent leg length discrepancy (LLD) after locked femoral nailing in patients with comminuted femoral shaft fractures. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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To evaluate whether immediate (0-3 days) postoperative radiography leads to alterations in the management of patients postfracture fixation. ⋯ Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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The Charlson comorbidity index (CCI), Elixhauser comorbidity measure (ECM), and modified frailty index (mFI) have been associated with mortality after hip fracture. The present study compares the clinically informative discriminative ability of CCI, ECM, and mFI, as well as demographic characteristics for predicting in-hospital adverse outcomes after surgical management of hip fractures. ⋯ Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Multicenter Study
Staged Prone/Supine Fixation of High-Energy Multicolumnar Tibial Plateau Fractures: A Multicenter Analysis.
We present a surgical strategy to manage multicolumnar tibial plateau fracture variants by addressing the predominant posterior fragment employing a Lobenhoffer approach in the prone position followed by supine patient repositioning for anterolateral column access. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.