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Fractures, Closed (0):
Recent article
Fractures, Closed
Abstract
We also investigated what doses and durations of antibiotics are typically ordered, which patients actually receive antibiotics and factors causing the ordered antibiotic regimen to be altered.
We performed a retrospective review of 205 patient charts and sent a national survey to all surgeon member...
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PMID: 21092428
PDF is available here.
PDF is available here.
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Abstract
162 of 248 bones were fractured. 130 fractures were identified using ultrasound, and 148 using X-ray. There were some advantages of X-ray over ultrasound in the detection of fracture type (80 correct results using X-ray, 66 correct results using ultrasound). Ultrasound, however, was superior to X-ra...
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PMID: 20401819
PDF is available here.
PDF is available here.
Abstract
The differences among three groups of TNF-alpha and IL-6 in blood serum at the 2nd day after admission and 2 days after operation had no statistical significance (P > 0.05). The TNF-alpha and IL-6 levels among 3 groups had statistical differences at the 7th day after admission and at the 7th day aft...
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PMID: 20701121
PDF is available here.
PDF is available here.
Abstract
Plate fixation of displaced midshaft clavicle fracture reliably restores length and alignment. It resulted in shorter time to union with low complication rates. Symptomatic malunion in adolescents may be more common than earlier thought after significantly displaced fractures. Corrective osteotomy w...
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PMID: 20502227
PDF is available here.
PDF is available here.
Abstract
The importance of dynamisation after static locked nailing in comminuted closed tibial fractures is a matter of contention. A prospective study was undertaken among 178 patients in the department of orthopaedics at RG Kar Medical College, Kolkata from January 2002 to December 2006, to analyse the us...
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PMID: 21121386
PDF is available here.
PDF is available here.
Triage pain scales cannot predict analgesia provision to pediatric patients with long-bone fracture.
Abstract
In our study, 211 (54.7%) patients enrolled received analgesia. Oral acetaminophen was the most commonly prescribed medication (131 patients, 62.1%), whereas opioids were used in only 24 (11.4%) patients. The average time taken to deliver analgesia to children arriving in our ED was 70 minutes. The...
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PMID: 20466218
PDF is available here.
PDF is available here.
Abstract
Single-dose prophylaxis results in lower cost and a similar amount of quality-adjusted life days gained. The single-dose strategy had an average cost of $2,576 for an average gain of 272 QALD. Multiple doses had an average cost of $2,596 for 272 QALD gained. These results are sensitive to the incide...
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PMID: 20148647
PDF is available here.
PDF is available here.
Abstract
The Epibloc system of percutaneous endomedullary internal fixation is best indicated for AO type A2-3 extra-articular fractures of the distal radius and AO type C1 slightly comminuted articular fractures. This system includes pins that can be inserted into the medullary canal and advanced without br...
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PMID: 20417918
PDF is available here.
PDF is available here.
Chirurgie de la Main (29)2 2010
Abstract
Authors report a case of a reconstruction of a large bone defect in the forearm with a free fibular graft occurring a good incorporation of the graft. Authors discuss the interest of fibula graft in reconstruction of large bone defect of the forearm.
Copyright 2010. Published by Elsevier SAS.
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PMID: 20303313
PDF is available here.
PDF is available here.
Abstract
The mean follow up was 5.04 years (ranged from 3 to 19 years). All the patients were healed. The clinical outcomes were evaluated according to Hawkins evaluation score in which ache, active range of the joint and limp was respectively acssessed. There were 6 patients reached an excellent result, 9 g...
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PMID: 20415086
PDF is available here.
PDF is available here.
Pediatric Emergency Care (26)3 2010
Abstract
Abstract
Pediatric Emergency Care (26)2 2010
Abstract
We present a case of a fully immunized 20-month-old boy with Streptococcus pneumoniae posttraumatic septic arthritis without evidence of an open fracture....
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PMID: 20145504
PDF is available here.
PDF is available here.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria (19)2 2010
Abstract
BACKGROUND: The annual incidence of spinal column fracture is 350 per million populations, with Motor vehicular accident being the major single cause of spine injuries. The victims are predominantly young and male. The aim of this study to evaluate the clinical outcome of conservative treatment of c...
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PMID: 20642089
PDF is available here.
PDF is available here.
Abstract
DVT including thrombus of ilio-venae external, thrombus of femoral vein, thrombus of popliteal vein, thrombus of posterior tibial veins and thrombus of soleus venae. The instance of DVT complicated by preoperative lower extremity close fracture: (1) The age of 23 cases (42.59%) more than 70 years. (...
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PMID: 20191967
PDF is available here.
PDF is available here.
Abstract
Microbiological studies revealed positive isolates in 31.5% fracture gaps in group A and 16.4% in group B (p < 0.05). The most frequent isolates were S. epidermidis, S. aureus and S. warneri, capitis, sciuri and lentus, in lower percentage micrococci and enterococci. Amplification of 16S rRNA was po...
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PMID: 20496780
PDF is available here.
PDF is available here.
Abstract
The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores...
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PMID: 19364637
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
The findings support our hypothesis that the amount of narcotics used between the skeletal traction group and skin traction group would not be significantly different. In using narcotic requirement as a gross measure of patient comfort while in traction, it seems there may be no benefit to the patie...
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PMID: 19700992
PDF is available here.
PDF is available here.
Orthopedics (32)8 2009
Abstract
We focus on the potential reasons for the nondiagnosis of the acetabular fracture. Acetabular fractures in the elderly may occur after low-energy injuries. The lack of history of violent injury may lead to an incorrect diagnosis. Plain anteroposterior (AP) pelvis radiographs alone may prove an insuf...
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PMID: 19708620
PDF is available here.
PDF is available here.
Abstract
Abstract
Full union was achieved in all patients. The shortest union time was 12 weeks and the longest 24 weeks, with an average of 15.2 weeks. Results in 15 patients (75%) were excellent, in 4 patients (20%) good and in 1 patient (5%) moderate according to Thorensen criteria. CONCLUSION: Use of expandable n...
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PMID: 19669970
PDF is available here.
PDF is available here.
Abstract
We conducted a prospective, randomized study to determine if patients with midshaft clavicle fractures would benefit from immediate operative stabilization with a modified Hagie pin in comparison with a matched group treated with nonoperative therapy. At a level II trauma center, patients with close...
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PMID: 19714275
PDF is available here.
PDF is available here.
Abstract
We hypothesized TKAs performed after infected tibial plateau fractures would have an even higher complication rate when compared with noninfected tibial plateau fractures. In a matched case-control study, we retrospectively reviewed 19 patients who underwent primary TKAs after infected tibial platea...
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PMID: 19002742
PDF is available here.
PDF is available here.
Journal de Radiologie (90)5 Pt 1 2009
Abstract
Abstract
We report a case of Pipkin II fracture associated with an irreducible hip subluxation. Clinical signs are poor unlike in posterior hip subluxation. CT scan is important to evaluate the traumatism. The Hardinge approach is relevant in this context of irreducible hip subluxation. The clinical, diagnos...
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PMID: 19711160
PDF is available here.
PDF is available here.
Abstract
We present a case of irreducible palmar dislocation of the proximal fragment of a scaphoid fracture without carpal dislocation. We observed this lesion 2 days after the injury and we immediately operated the patient with a combined volar and dorsal access: using the Henry access we reduced the fract...
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PMID: 19711162
PDF is available here.
PDF is available here.
Abstract
Pediatric Emergency Care (25)4 2009
Abstract
Based on clinical grounds and initially negative radiographic results, slightly more than half of patients without fractures can be overtreated, and nearly one third of patients with fractures can be undertreated. Instituting a protocol that includes limited trauma MRI lowers the total cost of care...
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PMID: 19382319
PDF is available here.
PDF is available here.
Pediatric Emergency Care (25)4 2009
Abstract
These data suggest that BUS evaluation of upper extremity injuries not involving joints maybe comparable to radiography for identifying fractures, the need for reduction, and the adequacy of reduction in children. If further investigations which include a larger number of lower extremity, growth pla...
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PMID: 19382318
PDF is available here.
PDF is available here.
Abstract
We retrospectively analysed 106 consecutive traumatic humeral shaft fractures over a five-year period. The mechanism of injury, age, gender, fracture types, associated injury and the presence of injury to the radial nerve were reviewed. The incidence was about 10 per 100,000 per year; most were clos...
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PMID: 18414861
PDF is available here.
PDF is available here.
Abstract
If the selection of patients is done properly, CNR under TA/LA will have considerable success in comparison with GA. Topical anesthesia is suggested in simple nasal fracture with unilateral depression or minimal displacement....
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PMID: 19258905
PDF is available here.
PDF is available here.
Abstract
All the patients were followed-up for 12 to 29 months, averaged 17 months. The cases occurrenced compilications including 2 cases of nonunion, 2 of new fracture, 1 of displacment, 4 of joint dysfunction, 3 of irritation of the bottom of the nail and 1 malunion. CONCLUSION: Strict indication, well de...
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PMID: 19281011
PDF is available here.
PDF is available here.
Military Medicine (174)2 2009
Abstract
This study was performed to assess the safety of performing intramedullary (IM) nailing in an established echelon III theater hospital. Twenty-two patients (23 fractures) sustained subtrochanteric or diaphyseal femur fractures and presented to the Air Force theater hospital (AFTH) at Balad Air Base,...
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PMID: 19317191
PDF is available here.
PDF is available here.
Abstract
We report a case of a 77-year-old female patient who died 4 days after a closed colles-fracture of the right wrist because of secondary emerged necrotising fasciitis. At the time of visiting our emergency department, the patient reports about untypical pain and progressive swelling of the entire rig...
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PMID: 18931852
PDF is available here.
PDF is available here.
Abstract
Complicated mandibular fractures were recognised in one foal, one pony and four horses. The foal was two months old while the adult animals ranged in age from 12 to 24 years. Three horses had a unilateral horizontal ramus fracture. Two fractures were open and one was closed. Comminution was present...
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PMID: 19151871
PDF is available here.
PDF is available here.
Abstract
Analysed herein are the outcomes of treating a total of 96 patients with closed comminuted fractures of crural bones. By the duration of antithrombotic prevention, the patients were subdivided into two groups: the Comparison Group comprising 45 patients with a brief course of anticoagulant treatment...
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PMID: 19791578
PDF is available here.
PDF is available here.
Abstract
The mean total range of motion was 90.2+/-31.1 degrees, flexion was 118.1+/-17.4 degrees, and extension was 27.8+/-17.4 degrees. The mean Mayo elbow performance score and DASH score were 86.1+/-12.6 and 7.6+/-9.5, respectively. According to the Jupiter elbow scores, the results were excellent in sev...
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PMID: 19293612
PDF is available here.
PDF is available here.
Abstract
We assessed the rate of soft tissue entrapment, and we also investigated the long-term clinical and radiological results after an age- and deformity-focused treatment regimen according to national guidelines.
Forty-three patients were included in the study. Ten (mean age, 12.4 years; range, 6-16 yea...
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PMID: 19305272
PDF is available here.
PDF is available here.
Journal of Trauma (65)6 2008
Abstract
Abstract
We therefore compared the angular deformities and final shortening of 434 closed fractures located in the middle third of the tibia treated with a functional brace with those in fractures in the proximal and distal thirds treated in the same manner. Ninety-seven percent in the middle third healed wi...
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PMID: 18719973
PDF is available here.
PDF is available here.
Abstract
Manipulative reduction and splint fixation for the treatment of the ulnar and radial bone fractures is a method of simple, minimally invasive, effective and functional advantages of quick recovery....
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PMID: 19143254
PDF is available here.
PDF is available here.
Abstract
Blood loss was about 10 to 50 ml (mean 30 ml). Operation time was 30 to 50 minutes. Time of fracture union was 8 to 12 weeks (mean 11 weeks). Wound infection, ununion of fracture and nerve injuries had not been found. CONCLUSION: Minimally invasive operation has the merit of short operation time, fi...
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PMID: 19143240
PDF is available here.
PDF is available here.
Abstract
We have previously documented, the initial shortening that closed tibial fractures experience does not increase with the physiological use of the extremity. The final shortening and angulation observed in most of the fractures should not be considered complications, simply inconsequential deviations...
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PMID: 19026185
PDF is available here.
PDF is available here.
Veterinary Surgery (37)7 2008
Abstract
Mean screw depth/sacral width ratio on immediate postoperative and re-examination radiographs was 64% and 61%, respectively. Mean percentage reduction of the sacroiliac joint on immediate postoperative and re-examination radiographs were 91% and 87%, respectively. Pelvic canal diameter ratio demonst...
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PMID: 19134080
PDF is available here.
PDF is available here.
Abstract
We attempted to document the current practice of TBS in Ibadan and their methods of fracture treatment with a view to training and improving the services offered by them. We carried out a literature search to review all previous studies on traditional bonesetters' practice and visited a few of them...
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PMID: 18612711
PDF is available here.
PDF is available here.
Abstract
There was no difference between the 2 groups on maintaining the reduction on final lateral radiographs. Stiffness was not a complication of either group. Advantages of the MCP-ext cast include quicker application and, to a much lesser degree, better tolerability, range of motion, and final grip stre...
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PMID: 18929202
PDF is available here.
PDF is available here.
Abstract
We present an unusual segmental fracture of the distal radius in a 14 year old that appears to be related to a large metal wristwatch worn by the patient. It was successfully managed by dosed reduction and immobilisation in a plaster cast....
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PMID: 19202823
PDF is available here.
PDF is available here.
Abstract
We evaluated 100 consecutive patients with a suspected scaphoid fracture but without evidence of a fracture on plain radiographs using MRI within 24 hours of injury, and bone scintigraphy three to five days after injury. The reference standard for a true radiologically-occult scaphoid fracture was e...
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PMID: 18757961
PDF is available here.
PDF is available here.
Abstract
We retrospectively analyzed the cases of 48 children with MacFarland fractures (31 boys and 17 girls), mean age at the time of trauma 11 years 6 months (range, 8-15 years). The fractures were classed into two groups according to the Salter and Harris classification for epiphyseal detachment: Salter...
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PMID: 18724202
PDF is available here.
PDF is available here.
Abstract
The aim of this retrospective multicentre study was to report the continued occurrence of compartment syndrome secondary to paediatric supracondylar humeral fractures in the period 1995 to 2005. The inclusion criteria were children with a closed, low-energy supracondylar fracture with no associated...
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PMID: 18757965
PDF is available here.
PDF is available here.
Abstract
We describe a case of type III fracture with torticollis and normal neurological function. A young woman who had experienced a head injury was suffering from neck pain. Torticollis developed several days later and a CT scan of the cervical spine revealed a type III left occipital condyle fracture. S...
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PMID: 18539462
PDF is available here.
PDF is available here.
Zhongguo Xiufu Chongjian Waike Zazhi/Chinese Journal of Reparative and Reconstructive Surgery (22)7 2008
Abstract
22 patients with 28 DIACFs were followed up 18.5 months (13-28 months). The wound of 26 feet achieved primary healing, the acute rejection was found in 2 patients and developed wound complications. Both patients underwent further surgery prior wound healing. After the internal fixation were removed,...
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PMID: 18681293
PDF is available here.
PDF is available here.
Abstract
Abstract
Arthroscopic surgery for tibial plateau fractures with associated soft-tissue injuries is a safe, reproducible, and effective procedure that provides precise diagnosis and effective treatment in a 1-stage procedure. LEVEL OF EVIDENCE: Level IV, therapeutic case series....
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PMID: 18589264
PDF is available here.
PDF is available here.
Abstract
Among the 18 patients treated nonoperatively, 16 (89%) displayed a complete recovery from their radial nerve palsy while 2 (11%) presented minor sequelae. In 11 (73%) of the 15 patients treated primarily operatively, the nerve function recovered completely while 2 patients (13%) had minor sequelae a...
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PMID: 18594306
PDF is available here.
PDF is available here.
Abstract
The results indicate that use of the minimally invasive nail insertion technique (MINIT) significantly decreases the occurrence of malalignment in proximal femoral shaft fractures....
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PMID: 18594303
PDF is available here.
PDF is available here.
Abstract
Length of surgery averaged 61 min (range 20-175 min). The incidence of subtalar arthritis was correlated to the severity of fracture. Böhler's angle was restored in 70.1% (47 of 67) of the cases. On the last follow-up evaluation the average Zwipp score was 130 points (range 48-186 points). The majo...
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PMID: 18309507
PDF is available here.
PDF is available here.
Der Unfallchirurg (111)6 2008
Abstract