The Journal of the American Academy of Orthopaedic Surgeons
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J Am Acad Orthop Surg · Jul 2016
ReviewIntramedullary Fixation of Clavicle Fractures: Anatomy, Indications, Advantages, and Disadvantages.
Historically, management of displaced midshaft clavicle fractures has consisted of nonsurgical treatment. However, recent literature has supported surgical repair of displaced and shortened clavicle fractures. Several options exist for surgical fixation, including plate and intramedullary (IM) fixation. ⋯ However, concerns persist regarding the complications associated with the use of these implants, including implant failure, migration, skin complications, and construct stability. Second-generation IM implants have been developed to reduce the limitations of earlier IM devices. Although anatomic and clinical studies have supported IM fixation of midshaft clavicle fractures, further research is necessary to determine the optimal fixation method.
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J Am Acad Orthop Surg · Jul 2016
Comparative StudyComplications After Surgical Management of Proximal Femoral Metastasis: A Retrospective Study of 417 Patients.
Proximal femoral fractures resulting from metastatic disease often require surgical management. Few studies have compared surgical techniques, and physicians' preferred strategies vary. This study compared revision and complication rates among surgical strategies. ⋯ Therapeutic Level III.