Journal of orthopaedic trauma
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Multicenter Study Comparative Study
Correct Positioning of Percutaneous Iliosacral Screws With Computer-Navigated Versus Fluoroscopically Guided Surgery in Traumatic Pelvic Ring Fractures.
To assess the correct positioning of iliosacral screw in patients with unstable traumatic pelvic ring injury by comparing fluoroscopically guided computer-navigated surgery (CNS) with conventional fluoroscopy (CF) through reviewing postoperative computed tomography (CT) and clinical indicators. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Osteoporotic sacral fractures, including acute and chronic insufficiency fractures, are increasing in frequency and present a number of management problem. Many of these patients are treated nonoperatively with relative immobility (eg, bedrest, wheelchair, or weight-bearing restrictions) and analgesics, which likely make the osteoporotic component worse. Surgery in this patient population may be desirable in some cases with the goals of improving mobility, relieving pain, and healing in an aligned position while minimizing deformity progression. ⋯ The rationale for using these 2 modalities is their synergistic effect: the cannulated screw provides typical screw fixation and also a conduit for cement application. The cement augments the lag screw's purchase in osteoporotic bone, enhancing fixation strength. The authors propose that combining percutaneous screw fixation with calcium phosphate augmentation may provide an improved biomechanical environment for healing of these difficult fractures that might translate into earlier mobility, better pain control, and improved outcomes.
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Multicenter Study Comparative Study
LCP Versus LISS in the Treatment of Open and Closed Distal Femur Fractures: Does it Make a Difference?
We compared the postoperative complication rates between the less invasive stabilization system (LISS) plating and locking compression plate for open and closed distal femoral fracture fixation for superiority. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Comparative Study
Early Appropriate Care: A Protocol to Standardize Resuscitation Assessment and to Expedite Fracture Care Reduces Hospital Stay and Enhances Revenue.
We hypothesized that a standardized protocol for fracture care would enhance revenue by reducing complications and length of stay. ⋯ Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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To describe the adjunctive use of thromboelastography (TEG) in directing initial blood component therapy resuscitation of patients with polytrauma with acute pelvic/acetabular fractures. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.