Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Apr 2013
Impact of ulnar styloid fractures in nonoperatively treated distal radius fractures.
The effect of an ulnar styloid fracture (USF) on the stability of nonoperatively treated distal radius fractures (DRF) is unknown. The aim of this study was to evaluate the influence of USFs on the dislocation of DRFs treated by closed reduction. ⋯ The results of this study show that presence of a dislocated USF in patients with a DRF is associated with a worse position directly after trauma, and with recurrence of radial shortening after adequate reduction. These results warrant early radiologic follow-up in patients with reduced combined DRFs and USFs in order to evaluate the redislocation of the distal radius. Early detection of redislocation in these combined fractures may induce early surgical intervention.
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Eur J Trauma Emerg S · Apr 2013
Locking Compression Plates are more difficult to remove than conventional non-locking plates.
Locking Compression Plates (LCPs) have been introduced in the last decade. Clinicians have the impression that hardware removal of LCPs are more difficult and associated with more complications than conventional (non-locking) plates. Therefore, this study compares the complication rates of Locking Compression Plate (LCP) removal and conventional non-locking plate removal. ⋯ LCP removal is associated with significantly more complications than conventional non-locking plate removal. The indication for removal of locking compression should be made cautiously, and surgical instruments for LCP removal should be optimized.
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Eur J Trauma Emerg S · Apr 2013
Nailing versus plating for comminuted fractures of the distal femur: a comparative biomechanical in vitro study of three implants.
The purpose of our study was to determine the biomechanical properties of three different implants utilized for internal fixation of a supracondylar femur fracture. The retrograde supracondylar nail (SCN), the less invasive stabilization system plate (LISS) and the distal femoral nail (DFN) were tested and their biomechanical properties compared. ⋯ All implants had sufficient biomechanical stability under physiological torsional and axial loading. All three implants have different mechanisms for distal locking. The SCN nail with the four-screw distal interlocking had the best combined axial and torsional stiffness whereas the LISS plate had the highest torsional stiffness.
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Eur J Trauma Emerg S · Apr 2013
Protection of medical personnel in armed conflicts-case study: Afghanistan.
International humanitarian law affords special protection to medical property and personnel whose mission is to save lives and provide health care for civilians and combatants alike. ⋯ Its rules and provisions obligate fighting parties to take all necessary measures to protect and respect medical missions in all circumstances.