Orthop Traumatol Sur
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Orthop Traumatol Sur · Apr 2019
Risk factors for secondary displacement in conservatively treated isolated greater tuberosity fractures: An analysis of 82 cases.
The optimal treatment of isolated fractures of the greater tuberosity is an important topic of current surgical research. While non-displaced fractures are amenable to conservative treatment, displacement of the fragment can result in rotator cuff malfunction and impingement. For the present study, risk factors predicting secondary fragment displacement were analyzed. ⋯ III, Retrospective comparative study.
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Orthop Traumatol Sur · Apr 2019
Is the Charlson comorbidity index a good predictor of mortality and adverse effects in proximal humerus fractures?
Proximal humerus fractures (PHF) are frequent in elderly patients. This population also suffers from a series of associated comorbidities, and PHF increases morbidity and mortality. The Charlson Comorbidity Index (CCI) is a tool used for calculating comorbidity and therefore the mortality risk. ⋯ IV, retrospective observational study.
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Orthop Traumatol Sur · Feb 2019
Multicenter Study Comparative StudyTibial plateau fracture management: ARIF versus ORIF - clinical and radiological comparison.
Arthroscopy has enabled minimally invasive procedures to be developed to treat tibial plateau fracture. The aim of the present study was to assess and compare clinical and radiological results between arthroscopically assisted reduction and internal fixation (ARIF) and open reduction and internal fixation (ORIF) procedures. The study hypothesis was that, in selected tibial plateau fractures, ARIF provides (1) clinical results comparable to those of ORIF, and (2) satisfactory reduction and stable fixation. ⋯ III, retrospective comparative study.
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Orthop Traumatol Sur · Feb 2019
Comparative StudyCompared efficiency of trauma versus scheduled orthopaedic surgery operating rooms in a university hospital.
The objective of this study was to contribute to an OR efficiency optimisation effort by comparing a trauma OR versus a scheduled surgery OR in a lower limb orthopaedic surgery department. ⋯ II, prospective cohort study.
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Orthop Traumatol Sur · Feb 2019
Use of intramedullary nailing in poor sanitary conditions: French Military Medical Service experience.
Intramedullary (IM) nailing is the gold standard for treating long bone fractures in developed countries because of its minimally-invasive application and good biomechanical properties. In precarious conditions, external fixation or open plate fixation are often performed because surgeons do not have the means to carry out IM nailing. However, these procedures can lead to infection-related complications and mechanical failures. The aim of our study was to describe the outcomes and postoperative complications of IM nailing of closed, long bone fractures in patients operated in a French front-line combat surgical unit (role 2+). Our hypothesis was that IM nailing is a reliable technique with low morbidity for the initial treatment of long bone fractures, even in precarious situations. ⋯ II, low-powered prospective study.