Hybrid external fixation for tibial plateau fractures: clinical and biomechanical correlation.

The biomechanical data support the use of tensioned wire fixation to stabilize complex fractures of the proximal tibia. The authors will show that the stability of a four-wire construct is comparable to the gold standard of dual plating internal fixation techniques. Using these techniques, many recent investigators have demonstrated improved clinical results, with average knee scores for most patients ranging from 85 to 90.

Silicone gel breast implant rupture rates: research issues.

Documenting the rate of rupture of silicone breast implants appears to be deceptively easy. Largely because of the phenomenon of "silent rupture," it isn't. The authors explore the various technical biases (selection, misclassification, and confounding) and methodological problems that have plagued much of the research conducted to date.