Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Aug 2012
Comparative StudyIs helical blade nailing superior to locked minimally invasive plating in unstable pertrochanteric fractures?
Technical advancements have produced many challenges to intramedullary implants for unstable pertrochanteric fractures. Helical blade fixation of the femoral head has the theoretical advantages of higher rotational stability and cutout resistance and should have a lower rate of reoperation than a locked plating technique. ⋯ Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Biography Historical ArticleBiographical sketch: Frank Wild Holdsworth, FRCS (1904-1969).
This biographical sketch on Frank Holdsworth corresponds to the historic text, The Classic: Dislocation and fracture-dislocation of the pelvis (1948), available at DOI 10.1007/s11999-012-2423-3 .
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Clin. Orthop. Relat. Res. · Aug 2012
Is application of an internal anterior pelvic fixator anatomically feasible?
Spinal hardware has been adapted for fixation in the setting of anterior pelvic injury. This anterior subcutaneous pelvic fixator consists of pedicle screws placed in the supraacetabular region connected by a contoured connecting rod placed subcutaneously and above the abdominal muscle fascia. ⋯ Level IV, retrospective study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Aug 2012
Meta Analysis Comparative StudyTotal hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures: meta-analysis of randomized trials.
Most patients with displaced femoral neck fractures are treated by THA and hemiarthroplasty, but it remains uncertain which if either is associated with better function and lower risks of complications. ⋯ Despite more dislocations, THA can benefit patients with displaced femoral neck fractures with a lower reoperation rate and higher functional scores.
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Clin. Orthop. Relat. Res. · Aug 2012
Multicenter StudyComplications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study.
Stabilization after a pelvic fracture can be accomplished with an anterior external fixator. These devices are uncomfortable for patients and are at risk for infection and loosening, especially in obese patients. As an alternative, we recently developed an anterior subcutaneous pelvic internal fixation technique (ASPIF). ⋯ Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.