Ann Acad Med Singap
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Ann Acad Med Singap · Oct 2007
Comparative StudyIntramedullary fixation of subtrochanteric fractures with long proximal femoral nail or long gamma nail: technical notes and preliminary results.
The objective of this study was to prospectively evaluate the clinical outcome of traumatic subtrochanteric fractures fixed with long proximal femoral nail (PFN) or long gamma nail with particular emphasis on our experience of surgical techniques. ⋯ This study suggests that long PFN or long gamma nail is a reliable implant for subtrochanteric fractures, leading to high rate of bone union and minimal soft tissue damage. Intramedullary fixation has biological and biomechanical advantages, but the operation is technically demanding. Gradual learning and great patience is needed in order to make this method truly minimally invasive.
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Ann Acad Med Singap · Oct 2007
Case ReportsPeripartum acute anterior ST segment elevation myocardial infarction: an uncommon presentation of acute aortic dissection.
Atherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction. ⋯ A high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.