Clinical orthopaedics and related research
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After elbow fracture-dislocation, surgeons confront numerous treatment options in pursuing a stable joint for early motion. The relative contributions of the radial head and coronoid, in combination, to elbow stability have not been defined fully. ⋯ Determination as to whether it is necessary to fix a coronoid fracture should be based on the stability of the elbow when tested with a varus load. The elbow may potentially be stable with fractures involving less than 50% of the coronoid. Under all circumstances, the radial head should be fixed or replaced to ensure valgus external rotatory stability.
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Clin. Orthop. Relat. Res. · Jul 2014
Biography Historical ArticleObituary: A remembrance: Gael R. Frank (1930-2012).
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Clin. Orthop. Relat. Res. · Jul 2014
Multicenter StudyAre there risk factors for complications of perforator-based propeller flaps for lower-extremity reconstruction?
Conventional pedicled flaps for soft tissue reconstruction of lower extremities have shortcomings, including donor-site morbidity, restricted arc of rotation, and poor cosmetic results. Propeller flaps offer several potential advantages, including no need for microvascular anastomosis and low impact on donor sites, but their drawbacks have not been fully characterized. ⋯ Level IV, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
The effect of resident participation on short-term outcomes after orthopaedic surgery.
The influence of resident involvement on short-term outcomes after orthopaedic surgery is mostly unknown. ⋯ Level II, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2014
Sonication of antibiotic spacers predicts failure during two-stage revision for prosthetic knee and hip infections.
Periprosthetic joint infection is a leading cause of failure after two-stage reimplantation. One cause of relapse may be persistent subclinical infection. Difficulty exists in detecting biofilm-forming infections. Sonication disrupts biofilm and has led to higher rates of positive intraoperative cultures. ⋯ Level III, diagnostic study. See the Instructions for Authors for a complete description of levels of evidence.