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Clavicle fractures represent one of the most frequent type of fractures. However, there is no consensus on the treatment of these fractures and their relative indications for surgery. The purpose of this study is to determine whether surgical treatment of mid-diaphyseal clavicular fractures indeed results in fewer complications and better radiological outcomes, as current trends suggest, in comparison to conservative treatment.
View Article and Find Full Text PDFA Retrospective Comparison of Headless Versus Standard Interlocking Screw Fixation of Tibia Intramedullary Nails.
J Am Acad Orthop Surg
February 2025
From the Department of Orthopaedics, Denver Health Medical Center; University of Colorado School of Medicine, Denver, CO.
Introduction: Symptomatic interlocking screws are common after intramedullary nail fixation of tibia fractures. Low-profile headless interlocking screws recently became available and could potentially reduce the rate of symptomatic screws. The purpose of this study was to compare the rate of symptomatic screws and screw removals between these screw types.
View Article and Find Full Text PDFComparison of elective implant removal and complication rates between mini and small fragment implants for lateral malleolar fixation.
Injury
December 2024
Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, USA; Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN, USA. Electronic address:
Article Synopsis
- The study investigates the use of mini-fragment implants versus small-fragment implants for open reduction and internal fixation (ORIF) of ankle fractures, aiming to determine if mini-fragments lead to lower rates of elective implant removal and complications.
- It analyzed data from 505 patients, finding similar rates of elective implant removal (8.3% for mini-fragment vs. 10.8% for small-fragment) and complication rates (6.7% for mini-fragment vs. 6.5% for small-fragment).
- The authors conclude that while mini-fragment implants are popular, their higher cost must be weighed against their similar effectiveness to small-fragment implants in terms of implant removal and complications.
Influence of initial belt torso contact on the kinematics and kinetics of booster-seated ATDs in frontal-oblique impacts.
Traffic Inj Prev
November 2024
Injury Biomechanics Research Center, The Ohio State University, Columbus, Ohio.
Article Synopsis
- The study examines how varying the initial belt gap on belt-positioning boosters affects the safety of child anthropomorphic test devices during vehicle impacts, specifically focusing on potential shoulder belt slip-off and its implications during evasive maneuvers.
- Using sled tests with different booster types and sizes, researchers measured the kinematic (movement) and kinetic (forces) outcomes of child test dummies under different belt fit conditions.
- Results indicated that larger-gap boosters resulted in increased torso rotation and lumbar moments compared to smaller-gap boosters, suggesting that inadequate initial contact between the shoulder belt and torso may compromise safety during collisions, although no complete belt slip-offs occurred.
Comparison of LVIS and Enterprise stent-assisted coiling embolization for ruptured intracranial aneurysms: a propensity score-matched cohort study.
Neurosurg Rev
September 2024
Department of Neurosurgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, Jiangxi, China.
Article Synopsis
- The study compares the safety and efficacy of two stent types, LVIS and Enterprise, in treating ruptured intracranial aneurysms (RIA) using data from 231 patients admitted between 2018 and 2021.
- Before adjusting for other variables, Enterprise showed a higher rate of poor prognosis after 12 months compared to LVIS.
- After thorough analysis, the LVIS group had a significantly lower occurrence of delayed cerebral ischemia (DCI) compared to the Enterprise group, suggesting similar overall efficacy but differing risks for complications.*
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