Journal of orthopaedic trauma
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Comparative Study Controlled Clinical Trial
Retrograde Versus Antegrade Femoral Bone Graft Harvesting Using the Reamer-Irrigator-Aspirator.
To compare retrograde versus antegrade femoral bone graft harvesting using the reamer-irrigator-aspirator system to determine whether there was any difference in intraoperative, postoperative, or patient outcome variables. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Review Meta Analysis
Vitamin C to Prevent Complex Regional Pain Syndrome in Patients With Distal Radius Fractures: A Meta-Analysis of Randomized Controlled Trials.
To determine whether vitamin C is effective in preventing complex regional pain syndrome (CRPS) in patients with distal radius fractures. ⋯ The evidence for vitamin C to prevent CRPS in patients with distal radius fractures fails to demonstrate a significant benefit. The overall quality of the evidence is low, and these results should be interpreted in the context of clinical expertise and patient preferences.
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Measuring pelvic ring displacement on plain radiographs has focused on gap and translational displacements with little discussion of rotational displacement, likely because of measurement difficulties. Our hypothesis is that rotational displacement can be accurately measured on computer-reconstructed radiographs (CRRs) with good validity and reliability. ⋯ A new radiographic technique for measuring axial and sagittal rotational deformities shows excellent interobserver reliability and good validity. This technique offers a low-cost and low-radiation examination to assess this deformity, which is readily available in most clinical settings. This measurement system can be used in future clinical studies to assess the clinical implications of residual rotational displacement.
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No single epidemiological study of upper extremity fractures exists in the United States using data from all payers. Current epidemiological estimates are based on case series, foreign databases, or Medicare data, which are not representative of the entire US population. The objective of this project was to accurately describe the incidence of fractures of the upper extremity in a representative sample of the US population. ⋯ Epidemiological studies are necessary for research, clinical applications, and public health and health policy initiatives. This study reports national estimates of upper extremity fractures with subgroup analysis.