[MULTI-DIMENSIONAL APPROACH FOR ASSESSING CREDIBILITY OF INDIVIDUALS CLAIMING COMBAT PTSD COMPENSATIONS: A PRELIMINARY STUDY].

Diagnosis of combat post-traumatic stress disorder (PTSD) is largely based on the subjective reports of the claimant and is therefore prone to over-diagnosis of symptoms. Over-diagnosis of combat PTSD is associated with harm. Therefore, it is important to assess the claimant's credibility in assessing PTSD as accurately as possible.

Use of a Hindfoot Nail Without Separate Subtalar and Tibiotalar Joint Preparation to Treat Geriatric Ankle and Distal Tibia Fractures: A Case Series.

Introduction: Ankle fractures in geriatric patients can be devastating injuries, as they limit an individual's mobility, autonomy, and quality of life. This study examines the functional outcomes and complications related to hindfoot nails (HFN) in geriatric patients who have suffered an ankle malleolar or distal tibia fracture.

Materials And Methods: This is a single-surgeon case-series of patients who underwent HFN for acute fixation or delayed reconstruction after an ankle or distal tibia fracture.

Postoperative Outcomes in Malleolar Fractures Fixed With a 3.5-mm Locking Compression Plate Hook Plate.

Ankle fractures are among the most common types of fractures seen in the United States. Few studies have analyzed the use of a locking compression plate (LCP) hook plate in the fixation of malleolar fractures. The goal of this study was to analyze postoperative outcomes in malleolar fractures fixed with a 3.

Hip Fracture Trends and Outcomes During the COVID-19 Pandemic.

Coronavirus disease 2019 (COVID-19) rapidly changed the landscape of health care, particularly in the New York City area. The elderly population is particularly vulnerable to both the novel coronavirus and the effects of a fracture. The goal of this study was to compare trends and outcomes of hip fracture patients during the pandemic.

Implementation of a Geriatrics-Focused Orthopaedic and Hospitalist Fracture Program Decreases Perioperative Complications and Improves Resource Utilization.

Objective: To evaluate whether the implementation of a geriatrics-focused orthopaedic and hospitalist comanagement program can improve perioperative outcomes and decrease resource utilization.

Design: A retrospective chart review study was conducted before and after the implementation of a geriatrics-focused orthopaedic and hospitalist comanagement program, based on the American Geriatrics Society (AGS) AGS CoCare:Ortho.

Setting: A large urban, academic tertiary center, located in the greater New York metropolitan area.

Implementation of Hip Fracture Co-Management Program (AGS CoCare: Ortho®) in a Large Health System.

Objectives: Acute hip fracture is common and leads to significant morbidity and mortality. Co-management programs, such as American Geriatric Society (AGS) CoCare: Ortho®, that optimize perioperative care of older adults, have demonstrated improved outcomes. Yet there is substantial variation in hip fracture care nationally.

Comorbid Profile Rather than Age Determines Hip Fracture Mortality in a Nonagenarian Population.

Background: In light of poor outcomes with nonoperative management of hip fractures, orthopedic surgeons are faced with difficult decisions about which patients are too ill or too old for surgical treatment.

Questions/purposes: This study sought to investigate if patients over 90 years had different preoperative laboratory, clinical, and injury characteristics than younger patients with the same injury. We compared our cohort with previously published data.

Is distal locking necessary? A biomechanical investigation of intramedullary nailing constructs for intertrochanteric fractures.

Objectives: Unstable intertrochanteric fractures in the elderly occur frequently. Several studies have evaluated the biomechanical impact of distally locking long cephalomedullary nails under axial loading; however, the impact of torsional loading has not been investigated. The purpose of this study is to determine the rotational load to failure of unstable intertrochanteric fractures treated with long cephalomedullary nails, with and without distal interlocking.

Operative treatment of acetabular fractures in an older population through a limited ilioinguinal approach.

Objectives: To compare treatment of acetabular fractures in elderly patients through a limited approach versus a standard ilioinguinal approach and assess changes in outcome and morbidity.

Design: Retrospective cohort comparison analysis.

Setting: Tertiary referral center.

Treatment of acetabular fractures in an older population.

Objective: To identify factors predicting poor radiographic and functional outcome and delayed total hip arthroplasty in operatively managed acetabular fractures in patients 55 years of age and older.

Design: Retrospective chart and radiographic review of a prospectively maintained database.

Setting: Tertiary care hospital.

Superior versus anteroinferior plating of the clavicle revisited: a mechanical study.

Objectives: This study was designed to compare bone-implant stiffness of two fixation techniques on a sawbone model of a clavicle fracture.

Methods: Twenty-four preosteotomized synthetic left clavicles (Sawbones Worldwide, Vashon, WA) were divided into four groups based on type of fixation: standard 3.5-mm pelvic reconstruction plate in the superior position; standard 3.