Factors associated with failure of locking plate fixation in proximal humerus fractures.

Background: Locking plate fixation remains the mainstay of surgical fixation of unstable proximal humerus fractures, however rates of failure remain high. The aim of this study was to identify risk factors that could be used to predict the likelihood of fixation failure.

Method: Patients with proximal humerus fractures managed with locking plate fixation between 2010 and 2019 at a Level 1 trauma centre were included.

The Translated Proximal Humerus Fracture: A Comparison of Operative and Nonoperative Management.

Objectives: To report on the long-term outcomes of the management of translated proximal humerus fractures.

Design: A prospective cohort study was conducted from January 2010 to December 2018.

Setting: Academic Level 1 trauma center.

Can displaced extra-articular fractures of the scapula be stabilized through a direct lateral-column approach.

Background: Displaced extraarticular fractures of the scapula are uncommon, and rarely require operative fixation. When managed operatively, a posterior Judet approach with detachment of the deltoid muscle from the scapular spine and elevation of the infraspinatus from its fossa, is often performed. This approach is invasive and involves extensive soft tissue dissection.

Primary arthrodesis versus open reduction internal fixation for complete Lisfranc fracture dislocations: a retrospective study comparing functional and radiological outcomes.

Background: The aims of this retrospective study were to compare the functional and radiological outcomes of primary arthrodesis and open reduction internal fixation (ORIF) for the treatment of complete Lisfranc fracture dislocations.

Methods: A retrospective cohort study of 39 patients treated for a complete Lisfranc fracture dislocation, defined as Myerson types A and C2, over a period of 8 years at a level 1 trauma centre was performed. Of these, 18 underwent primary arthrodesis, and 21 ORIF.

Keeping your cool - a simple reusable neck cooler in orthopaedic surgery: a pilot randomized controlled trial.

Background: Infection in orthopaedic surgery can be catastrophic. Increased perspiration from theatre staff has been associated with higher rates of wound contamination. Wearing lead safety gowns, which is often done during surgery to allow the use of image intensifier, may result in heavy perspiration.