Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · May 2015
Randomized Controlled Trial Comparative StudyAntegrade intramedullary pinning versus retrograde intramedullary pinning for displaced fifth metacarpal neck fractures.
Severe angulation or shortening can be a surgical indication for fifth metacarpal neck fracture. In a previous meta-analysis, antegrade intramedullary pinning was shown to produce better hand function outcomes than percutaneous transverse pinning or miniplate fixation for treatment of fifth metacarpal neck fractures. However, the outcomes of retrograde intramedullary pinning, to our knowledge, have not been compared with those of antegrade intramedullary pinning. ⋯ Level I, therapeutic study.
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Clin. Orthop. Relat. Res. · May 2015
Short-term complications have more effect on cost-effectiveness of THA than implant longevity.
Outcomes research in THA has focused largely on long-term implant survivorship as a primary outcome and emphasized the development of new implant technologies. In contrast, strategies to improve short-term outcomes, such as the frequencies of periprosthetic joint infections and unplanned readmissions, have received less attention. ⋯ Level II, economic and decision analysis.
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Clin. Orthop. Relat. Res. · May 2015
Platelet-rich plasma in meniscal repair: does augmentation improve surgical outcomes?
Increased contact stresses after meniscectomy have led to an increased focus on meniscal preservation strategies to prevent articular cartilage degeneration. Platelet-rich plasma (PRP) has received attention as a promising strategy to help induce healing and has been shown to do so both in vitro and in vivo. Although PRP has been used in clinical practice for some time, to date, few clinical studies support its use in meniscal repair. ⋯ Level III, therapeutic study.