Eur J Orthop Surg Tr
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Eur J Orthop Surg Tr · Oct 2015
Comparative Study Observational StudyProspective study of the reproducibility of X-rays and CT scans for assessing trochanteric fracture comminution in the elderly: a series of 110 cases.
Trochanteric fractures are common but difficult to analyse in the elderly on plain X-rays. Fixation failures are related to the severity of the comminution, but comminution and the degree of instability are not easy to determine on standard X-rays. Use of computed tomography (CT) improves assessment of complex fractures, but this finding has not been confirmed versus intraoperative data. The primary objective of this prospective study was to determine the error rate when evaluating comminution on X-rays and CT scans. The secondary objectives were to determine whether CT data on comminution and stability were consistent with intraoperative findings and to define the fracture characteristics. ⋯ Prospective diagnostic study, Level III.
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Eur J Orthop Surg Tr · Oct 2015
Charles M. Court-Brown, James D. Heckman, Margaret M. Mc Queen, William M Ricci, Paul Tornetta III (eds): Rockwood and Green's Fractures in adults eighth edition : Wolters Kluwer 2015; Hardcover; 3 volumes; $ 474,99; € 701.00, ISBN 13: 978-1469871585; ISBN 10: 1469871580.
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Eur J Orthop Surg Tr · Aug 2015
Isolated pelvic ring injuries: functional outcomes following percutaneous, posterior fixation.
To characterize pelvic-specific functional outcomes in patients with isolated, partially unstable (AO/OTA 61-B), pelvic ring injuries treated with posterior only percutaneous screw fixation of the pelvic ring. ⋯ This series demonstrates that activity-specific dysfunction persists years after definitive percutaneous posterior fixation of isolated pelvic ring injuries. Radiographic outcomes were excellent as were subjects' ability to ambulate independently and sit comfortably without pain. Many complained of persistent discomfort with both daily activities and sexual activity, suggesting persistent pathology to the non-osseous structures about the pelvis.
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Eur J Orthop Surg Tr · Aug 2015
Randomized Controlled TrialBlood transfusion and risk of infection in frail elderly after hip fracture surgery: the TRIFE randomized controlled trial.
It is still under debate that red blood cell (RBC) transfusions might increase the risk of healthcare-associated infections after hip fracture surgery. Previously, we found that a liberal RBC transfusion strategy improved survival in nursing home residents. Our aim, therefore, was to investigate whether a more liberal RBC transfusion strategy was associated with a higher infection risk in frail elderly hip fracture patients. ⋯ A more liberal RBC transfusion strategy was not associated with higher risk of infection among residents from nursing homes or sheltered housing undergoing hip fracture surgery.