Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jul 2014
Comparative StudyIs ORIF superior to nonoperative treatment in isolated displaced partial articular fractures of the radial head?
While good results have been reported with both nonoperative and operative treatment of isolated displaced partial radial head fractures, there remains considerable disagreement about the role of surgery in the management of these injuries. ⋯ Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
Single-staged treatment using a standardized protocol results in functional motion in the majority of patients with a terrible triad elbow injury.
Terrible triad injuries of the elbow, defined as elbow dislocation with associated fractures to the radial head and coronoid, are associated with stiffness, pain, and loss of motion. Studies to date have consisted of small sample sizes and used heterogeneous surgical techniques, which render comparisons difficult and unreliable. ⋯ Level IV, therapeutic study. See guidelines for authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
Radial head replacement for acute complex fractures: what are the rate and risks factors for revision or removal?
When treating complex radial head fractures, important goals include prevention of elbow or forearm instability, with restoration of radiocapitellar contact essential. When open reduction and internal fixation cannot achieve this, radial head replacement is routinely employed, but the frequency of and risk factors for prosthesis revision or removal are not well defined. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
The management of elbow instability using an internal joint stabilizer: preliminary results.
Nonsurgical and surgical treatments such as immobilization, transarticular pinning, and hinged or nonhinged external fixation have been used to treat unstable elbows. These methods all have drawbacks. We thought that a bent Steinmann pin introduced through the axis of ulnohumeral rotation and attached to the ulna could provide an improved method of treatment and that this could result in the development of a proper internal joint fixator that may have widespread application. ⋯ Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
Injury complexity factors predict heterotopic ossification restricting motion after elbow trauma.
Heterotopic ossification (HO) is a common extrinsic cause of elbow stiffness after trauma. However, factors associated with the development of HO are incompletely understood. ⋯ Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.