Journal of orthopaedic trauma
-
Comparative Study
Success of exchange reamed intramedullary nailing for femoral shaft nonunion or delayed union.
To investigate the success of exchange reamed femoral nailing in the treatment of femoral nonunion after intramedullary (IM) nailing, and to analyze factors that may contribute to failure of exchange reamed femoral nailing. ⋯ Exchange reamed nailing remains the treatment of choice for most femoral diaphyseal nonunions. Exchange reamed IM nailing has low morbidity, may obviate the need for additional bone grafting, and allows full weight-bearing and active rehabilitation. Tobacco use appears to have an adverse effect on nonunion healing after exchange reamed femoral nailing.
-
Coronal fractures of the femoral condyle (Hoffa fractures) are intraarticular fractures that are commonly treated surgically by open reduction and internal fixation. Surgical fixation is demanding because anatomic reduction is mandatory and adequate exposure is often difficult. Herein we describe a new technique that permits excellent visualization and fixation of lateral Hoffa fractures based on osteotomy of Gerdy's tubercle and reflection of the attached iliotibial band.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Reamed versus nonreamed anterograde femoral nailing.
To compare reamed femoral nailing with unreamed femoral nailing. ⋯ There is no advantage to the routine use of nailing without reamed insertion. Fractures treated with reamed nails heal faster than those treated with unreamed nails, especially distal fractures.
-
To assess predictive and discriminant validity and responsiveness of the Functional Recovery Score, a disease-specific health assessment tool. ⋯ The Functional Recovery Score is a reliable method of assessing functional outcome for elderly hip fracture patients.
-
Clinical Trial Controlled Clinical Trial
Bohler's angle: correlation with outcome in displaced intra-articular calcaneal fractures.
Bohler's tuber joint angle is commonly assessed when evaluating calcaneal fractures. A severe heel fracture will result in a significant decrease or loss of this angle. The purpose of this study was to evaluate the correlation between Bohler's angle and functional outcome in displaced intra-articular calcaneal fractures. ⋯ In this study, Bohler's angle had significant prognostic value in terms of predicting morbidity. Fractures with a markedly diminished Bohler's angle demonstrated a much poorer two-year outcome regardless of treatment. It would seem that the initial Bohler's angle was highly prognostic, regardless of treatment modality.