Publications by authors named "Rafael Serrano Riera"
Purpose: The purpose of this study was to compare rates of recurrent dislocation and postsurgical outcomes in patients undergoing arthroscopic Bankart repair for anterior shoulder instability immediately after a first-time traumatic anterior dislocation versus patients who sustained a second dislocation event after initial nonoperative management.
Methods: A retrospective chart review was performed of patients undergoing primary arthroscopic stabilization for anterior shoulder instability without concomitant procedures and minimum 2-year clinical follow-up. Primary outcome was documentation of a recurrent shoulder dislocation.
Proximal humerus fractures are common injuries that account for 10% of all fractures in the elderly. Several options are available for the management of proximal humerus fractures. Optimal treatment is based on the fracture pattern and the patient characteristics.
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- The study evaluated the necessity of routine follow-up after clavicle fractures have healed by reviewing 246 cases treated surgically at trauma centers.
- Results showed that there were no significant changes in fracture alignment or implant position after healing, with an average follow-up time of 31.4 months.
- The research suggests that limiting routine follow-up could be safe and cost-effective, saving healthcare resources as further imaging does not yield additional valuable information.
Article Synopsis
- The study aimed to investigate the relationship between the OTA/AO classification of tibia fractures and the occurrence of acute compartment syndrome (ACS) in patients over a ten-year period at a trauma center.
- Out of 2,885 analyzed tibia fractures, ACS was found in 136 cases (4.7%), with factors like younger age, male gender, and external fixation increasing the likelihood of developing ACS.
- Certain fracture types within the OTA/AO classification significantly influenced ACS risk, with OTA/AO 43 injuries showing lower rates of ACS compared to OTA/AO 41 and 42 injuries, while bilateral tibia fractures exhibited a lower overall ACS occurrence.
Purpose: The purpose of this OTA-approved pilot study was to compare the clinical and functional outcomes of the knee joint after infrapatellar (IP) versus suprapatellar (SP) tibial nail insertion.
Design: Prospective, randomized.
Setting: Level I trauma center.
Objective: The purpose of this analysis is to report on the epidemiology and clinical implications of traumatic proximal tibiofibular dislocation (PTFD).
Design: Retrospective chart and radiographic review.
Setting: Level 1 regional trauma center.
Objective: To describe the incidence and common patterns of lateral meniscal tears detected intraoperatively and surgically treated based on tibial plateau fracture patterns.
Design: Retrospective analysis of a prospective database.
Setting: Level One Regional Trauma Center.
Objectives: To determine if indomethacin has a positive clinical effect for the prophylaxis of heterotopic ossification (HO) after acetabular fracture surgery. To determine whether indomethacin affects the union rate of acetabular fractures.
Design: Prospective randomized double-blinded trial.