Dtsch Arztebl Int
-
Randomized Controlled Trial
Routine X-Rays After the Osteosynthesis of Distal Radius and Ankle Fractures-a Prospective Randomized Controlled Trial on the Necessity of Routine Imaging.
The utility of routine x-rays after the osteosynthesis of distal radius fractures and ankle fractures is questionable. We performed a trial to determine whether such x-rays are justified in patients who have undergone standardized imaging with C-arm fluoroscopy during surgery. ⋯ In this trial, routine postoperative x-rays after the osteosynthesis of distal radial fractures and ankle fractures did not improve the care of patients who had undergone standardized intraoperative imaging.
-
Survival after ST-elevation myocardial infarction (STEMI) as a first event in Germany was analyzed. ⋯ In Germany, women ≤ 60 years display a higher 30-day mortality after first-event STEMI, which affects their overall survival. Younger women should receive intensified medical attention after STEMI, especially in the early phase.
-
An inverse association between lipoprotein(a) (Lp[a]) and type 2 diabetes mellitus is well documented. However, data on the association of the metabolic syndrome (MetS) with Lp(a) are sparse. ⋯ Hormonal aspects and menopausal alterations seem to affect the association between MetS and Lp(a), as the expected inverse association was not present in premenopausal women.