Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2016
Surgeon preferences regarding antibiotic prophylaxis for ballistic fractures.
Scant evidence exists to support antibiotic use for low velocity ballistic fractures (LVBF). We therefore sought to define current practice patterns. We hypothesized that most surgeons prescribe antibiotics for LVBF, prescribing is not driven by institutional protocols, and that decisions are based on protocols utilized for blunt trauma. ⋯ Routine antibiotic use for LVBF is common; however, practice is not dictated by institutional protocol. Although antibiotic use generally follows current blunt trauma guidelines, surgeons do not base their treatment decisions the Gustilo-Anderson classification. Given the high rate of antibiotic use for LVBF, further study should focus on providing evidence-based treatment guidelines.
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Arch Orthop Trauma Surg · Jun 2016
Multicenter Study Comparative StudyAre people following hip and knee arthroplasty at greater risk of experiencing a fall and fracture? Data from the Osteoarthritis Initiative.
Falls are a major challenge for older people and are a significant source of mortality and morbidity. There has been uncertainty as to whether people with total hip (THA) or knee (TKA) arthroplasty have a greater risk of falls and associated fractures. This analysis was to explore this question with a large community dataset. ⋯ There appears a lower chance of experiencing a fracture for people following THA compared to those who have not.
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Arch Orthop Trauma Surg · Jun 2016
Arthroscopic lateral acromion resection (ALAR) optimizes rotator cuff tear relevant scapula parameters.
The acromion index (AI), critical shoulder angle (CSA) and lateral acromion angle (LAA) are predictive for degenerative rotatory cuff tears. Their unfavorable values are associated with a suboptimal deltoid force vector. The aim of this study was to evaluate whether an optimization of the radiological parameters could be achieved through a specific arthroscopic lateral acromion resection (ALAR). ⋯ Level IV, case series without comparison group.
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Arch Orthop Trauma Surg · Jun 2016
Randomized Controlled Trial6-week radiographs unsuitable for diagnosis of suspected scaphoid fractures.
Six week follow-up radiographs are a common reference standard for the diagnosis of suspected scaphoid fractures. The main purpose of this study was to evaluate the interobserver reliability and diagnostic performance characteristics of 6-weeks radiographs for the detection of scaphoid fractures. In addition, two online techniques for evaluating radiographs were compared. ⋯ Diagnostic level II.
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Arch Orthop Trauma Surg · Jun 2016
International survey and surgeon's preferences in diagnostic work-up towards treatment of anterior shoulder instability.
Recurrent anterior shoulder instability after surgical treatment can be caused by bony defects. Several diagnostic tools have been designed to measure the extent of these bony lesions. Currently, there is no consensus which measurement tool to use and decide which type of surgery is most appropriate. We therefore performed an evaluation of agreement in surgeons' preference of diagnostic work-up and surgical treatment of anterior shoulder instability. ⋯ Survey, level of evidence IV.