Journal of orthopaedic trauma
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To assess clinical, radiographic, and functional outcomes after intramedullary nail (IMN) fixation of tibia fractures with an infrapatellar approach compared to a suprapatellar approach. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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The management of geriatric distal femur fractures is controversial, and both primary distal femur replacement (DFR) and surgical fixation (SF) are viable treatment options. The purpose of this study was to compare patient outcomes after these treatment strategies. ⋯ Therapeutic Level IV. See instructions for authors for a complete description of levels of evidence.
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To determine whether patients with operatively treated fractures and surgical site infection after use of topical vancomycin powder have a lower proportion of Staphylococcus aureus infections than patients who did not receive topical vancomycin powder. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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To establish the reliability of 2 radiographic union scoring systems for nonoperative humeral shaft fractures. ⋯ The RUST and mRUST systems can be applied to humeral shaft fractures with excellent reliability. They have the potential to assist in the diagnosis of humeral shaft union by providing an objective and standardized method to assess healing of bone over time.
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Hospitals worldwide have postponed all nonessential surgery during the COVID-19 pandemic, but non-COVID-19 patients are still in urgent need of care. Uncertainty about a patient's COVID-19 status risks infecting health care workers and non-COVID-19 inpatients. We evaluated the use of quantitative reverse transcription polymerase chain reaction (RT-qPCR) screening for COVID-19 on admission for all patients with fractures. ⋯ Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.