Is arthroplaty btter than interal fixation for undiplaced femoral nck fracture? A national pragmatic RCT: the trial.

Introduction: Undisplaced femoral neck fractures (FNFs) are usually treated by internal fixation (IF) but two randomised controlled trials (RCTs) have demonstrated advantages of treatment with arthroplasty. The complication rate was lowered but there were no clinically improved patient-reported outcome measures (PROM), which could be due to underpowering or choice of selected PROM as the studies do appear to report a better functional outcome. We will conduct an RCT comparing IF with arthroplasties in patients aged over 65 years with an undisplaced FNF.

Failure of short versus long cephalomedullary nail after intertrochanteric fractures.

The aim of study is to examine the frequency of reoperation and difference in failures for short cephalomedullary nail (SN) and long cephalomedullary nail (LN).We included patients with an intertrochanteric fracture treated with Gamma nail (Stryker®). All radiographs were reviewed, TAD and diastasis were measured, and type of failure registered.

Effectiveness and complications of primary C-clamp stabilization or external fixation for unstable pelvic fractures.

Background And Purpose: Unstable pelvic fractures frequently require emergency stabilization using a C-clamp or external (CC/EF) fixation. However, the effectiveness of this intervention and associated complications are still a matter of debate.

Patients And Methods: The analysis used data available from the German Pelvic Trauma Registry to study general complications, infections and mortality after primary stabilization using CC/EF in 5,499 patients (n = 957 with vs n = 4,542 without).

The enigma of atypical femoral fractures: A summary of current knowledge.

Atypical femoral fractures (AFF) are stress or 'insufficiency' fractures, often complicated by the use of bisphosphonates or other bone turnover inhibitors. While these drugs are beneficial for the intact osteoporotic bone, they probably prevent a stress fracture from healing which thus progresses to a complete fracture.Key features of atypical femoral fractures, essential for the diagnosis, are: location in the subtrochanteric region and diaphysis; lack of trauma history and comminution; and a transverse or short oblique configuration.

How to deal with a glenoid fracture.

The glenoid fossa is involved in approximately 10% of all scapular fractures.Glenoid fossa incongruity is surprisingly well tolerated.Surgery is recommended when 20% or more of the anterior glenoid fossa is involved.

The floating knee: a review on ipsilateral femoral and tibial fractures.

In 1975, Blake and McBryde established the concept of 'floating knee' to describe ipsilateral fractures of the femur and tibia. This combination is much more than a bone lesion; the mechanism is usually a high-energy trauma in a patient with multiple injuries and a myriad of other lesions.After initial evaluation patients should be categorised, and only stable patients should undergo immediate reduction and internal fixation with the rest receiving external fixation.

High Reliability of a Scoring System for Implant Position in Undisplaced Femoral Neck Fractures.

Objectives: The aim of this study was to evaluate the intrarater and interrater reliability of a scoring system for internal fixation (SIFA) in undisplaced femoral neck fractures (FNF).

Design: A reproducibility study with a historical consecutive cohort.

Setting: The patients were all treated at a level one trauma hospital.

Operative versus nonoperative treatment of displaced midshaft clavicle fractures in adults: a systematic review.

Objectives: Intervention studies of clavicle fracture treatment are numerous, but only a few high quality studies prospectively compare operative and nonoperative treatment. The objective of this study was to review evidence from randomized controlled trials on operative versus nonoperative treatment of displaced midshaft clavicle fractures in adults with focus on fracture healing, complications and functional outcome.

Data Sources: An electronic search was performed of PubMed, Embase and Cochrane databases which revealed 559 articles.

Periprosthetic fractures around the knee-the best way of treatment.

Background: A variety of methods has been described to stabilise periprosthetic fractures around total knee arthroplasty (TKA). Our report offers a review of the actual strategies in the reduction and fixation of these fractures. Surgical treatment should be based on the following four steps:Diagnostics: By taking the patients' history together with an X-ray of the knee and femur, the fracture is analysed.

[Orthopedic surgical aspects of damage control surgery].

Damage control orthopedics (DCO) is a concept for treatment of fractures in severely injured patients. The fractures are stabilized with external fixators instead of primary definitive osteosynthesis, known as early total care (ETC). The purpose of DCO is to minimize time of surgery and bleeding and thereby minimize the "second hit".

[Evaluation of multitraumatized patients admitted to a trauma center].

Introduction: This study describes the survival possibility in a population of Danish multitraumatized patients. The analysis is related to international standards and to development over time as well.

Material And Methods: The study included 1664 patients admitted as trauma patients to the Odense University Hospital during the period January 1st 1996 to December 31st 2001.