Journal of orthopaedic trauma
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To evaluate the effect of both high-pressure pulsatile lavage and bulb syringe irrigation on the biomechanical parameters of fracture healing using an in vivo open noncontaminated diaphyseal femoral fracture model in rats. ⋯ The findings of this study suggest that selective use of high-pressure irrigation in the management of open fractures appears warranted. In situations in which high-pressure lavage may be deleterious to bone healing, alternative strategies that optimize bacterial removal from soft tissues while preserving bone architecture will need to be investigated.
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Comparative Study
The application of open intramedullary fixation in the treatment of pediatric radial and ulnar shaft fractures.
This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children. ⋯ Intramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation.
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Comparative Study
Indirect reduction and plating of distal femoral nonunions.
To observe and report the clinical results of indirect reduction and plating in the treatment of distal femoral nonunions. ⋯ Contemporary plating techniques are effective in the treatment of distal femoral nonunions. Union occurred reliably with few complications, resulting in a majority of good or excellent clinical results.
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Comparative Study
Unipolar versus bipolar hemiarthroplasty: functional outcome after femoral neck fracture at a minimum of thirty-six months of follow-up.
This investigation was undertaken to compare a series of elderly individuals who sustained a displaced femoral neck fracture treated with either a cemented bipolar prosthesis or a cemented modular unipolar prosthesis. ⋯ Based on the results of this study, there does not appear to be any advantage to the use of a bipolar endoprosthesis in the management of displaced femoral neck fractures in the elderly. Furthermore, the extra cost of bipolar endoprostheses does not seem to warrant its use.
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Comparative Study
A modified hip screw incorporating injected cement for the fixation of osteoporotic trochanteric fractures.
To evaluate a modified sliding hip screw for the fixation of trochanteric fractures that provides increased fixation strength in osteoporotic bones and allows for the safe intraoperative application of bone cement. ⋯ This modified hip screw augmented with bone cement can significantly enhance the initial fixation stability of trochanteric fractures in osteoporotic femurs.