Journal of orthopaedic trauma
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Failure to rescue (FTR)--death after a major adverse event--has recently been identified as an important determinant of variation in surgical mortality. We sought to identify patient and hospital characteristics associated with FTR after proximal femur fracture surgery, and to determine whether they are different from the predictors of the occurrence of adverse events. We also identified which adverse events are most highly associated with FTR. ⋯ Prognostic level II. See Instructions for Authors for a complete description of levels of evidence.
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Successful treatment of periprosthetic femur fractures, like all fractures, requires careful attention to understand the fracture pattern nuances, identifying and executing a rational treatment approach, and providing an appropriate postoperative recovery protocol. Unlike most other fractures, modification of standard techniques is often required to obtain a stable fixation construct, and there is a greater role for revision arthroplasty in the treatment of periprosthetic fractures. Optimal indications for surgical repair versus revision arthroplasty and optimal postoperative weight-bearing protocols remain uncertain. ⋯ Results for periprosthetic distal femur fractures, however, are less good and more inconsistent. Both periprosthetic femoral shaft and distal femur fractures are associated with relatively high mortality rates, approaching that of patients with hip fractures. This review should provide insight into the current solutions and challenges for the treatment of patients with periprosthetic femur fractures.
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To identify factors that are associated with short-term outcomes after open reduction and internal fixation (ORIF) for tibial plateau fracture. ⋯ Prognostic level II. See Instructions for authors for a complete description of levels of evidence.
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The treatment of some pelvic injuries has evolved recently to include the use of a subcutaneous anterior pelvic fixator (INFIX). We present 8 cases of femoral nerve palsy in 6 patients after application of an INFIX to highlight this potentially devastating complication to pelvic surgeons using this technique and discuss how it might be avoided in the future. ⋯ Therapeutic level IV. See Instructions for Authors for a complete description of levels of evidence.