Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Aug 2012
Comparative StudyBisphosphonate-associated femur fractures have high complication rates with operative fixation.
Bisphosphonate-associated femur fractures have been well described but the preoperative patient factors, treatment modalities, and complications of treatment are unclear. ⋯ Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Randomized Controlled Trial Comparative StudyCurrent treatments of isolated articular cartilage lesions of the knee achieve similar outcomes.
Many surgical techniques, including microfracture, periosteal and perichondral grafts, chondrocyte transplantation, and osteochondral grafts, have been studied in an attempt to restore damaged articular cartilage. However, there is no consensus regarding the best method to repair isolated articular cartilage defects of the knee. ⋯ Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Randomized Controlled TrialSurgical technique: a percutaneous method of subcutaneous fixation for the anterior pelvic ring: the pelvic bridge.
Management of pelvic ring injuries using minimally invasive techniques may be desirable if reduction and stability can be achieved. We present a new technique, the anterior pelvic bridge, which is a percutaneous method of fixing the anterior pelvis through limited incisions over the iliac crest(s) and pubic symphysis. ⋯ Level II, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Multicenter StudyRadiographic changes of implant failure after plating for pubic symphysis diastasis: an underappreciated reality?
Implant failure after symphyseal disruption and plating reportedly occurs in 0% to 21% of patients but the actual occurrence may be much more frequent and the characteristics of this failure have not been well described. ⋯ Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Reason for revision influences early patient outcomes after aseptic knee revision.
Revision TKA less consistently produces improvements in clinical function and quality of life when compared with primary TKA. The reasons for this difference are unclear. ⋯ Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.