Aims. Triplane
Aims. Pneumatic tourniquets are often used during the surgical treatment of unstable traumatic
Aims. This study aimed to compare the outcomes of two different postoperative management approaches following surgical fixation of
Aims. The aim of this study was to compare the longer-term outcomes of operatively and nonoperatively managed patients treated with a removable brace (fixed-angle removable orthosis) or a plaster cast immobilization for an acute
Aims. The primary aim of this study was to address the hypothesis that fracture morphology might be more important than posterior malleolar fragment size in rotational type posterior malleolar
Aims. Paediatric triplane fractures and adult trimalleolar
Aims. The aim of this study was to compare the functional and radiological outcomes and the complication rate after nail and plate fixation of unstable fractures of the ankle in elderly patients. Methods. In this multicentre study, 120 patients aged ≥ 60 years with an acute unstable AO/OTA type 44-B fracture of the ankle were randomized to fixation with either a nail or a plate and followed for 24 months after surgery. The primary outcome measure was the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score. Secondary outcome measures were the Manchester-Oxford Foot Questionnaire, the Olerud and Molander Ankle score, the EuroQol five-dimension questionnaire, a visual analogue score for pain, complications, the quality of reduction of the fracture, nonunion, and the development of osteoarthritis. Results. At 24 months, the median AOFAS score was equivalent in the two groups (nail 90 (interquartile range (IQR) 82 to 100), plate 95 (IQR 87 to 100), p = 0.478). There were statistically more complications and secondary operations after nail than plate fixation (p = 0.024 and p = 0.028, respectively). There were no other significant differences in the outcomes between the two groups. Conclusion. The functional outcome after nail and plate fixation was equivalent; however, the complication rate and number of secondary operations was significantly higher after nail fixation. These results suggest that plate fixation should usually be the treatment of choice for unstable
Aims. Complex joint fractures of the lower extremity are often accompanied by soft-tissue swelling and are associated with prolonged hospitalization and soft-tissue complications. The aim of the study was to evaluate the effect of vascular impulse technology (VIT) on soft-tissue conditioning in comparison with conventional elevation. Methods. A total of 100 patients were included in this prospective, randomized, controlled monocentre study allocated to the three subgroups of dislocated
Diabetes mellitus is considered an indicator of poor prognosis for acute
Aims. This study assessed the association of classes of body mass index
in kg/m. 2. (classified as normal weight 18.5 kg/m. 2 . to
24.9 kg/m. 2. , overweight 25.0 kg/m. 2 . to 29.9
kg/m. 2. , and obese ≥ 30.0 kg/m. 2. ) with short-term
complications and functional outcomes three to six years post-operatively
for closed
To determine the relative risk of complications in treating
Aims. The fundamental concept of open reduction and internal fixation
(ORIF) of
Aims. In approximately 20% of patients with
Aims. Patients with diabetes are at increased risk of wound complications
after open reduction and internal fixation of unstable
The Ankle Injury Management (AIM) trial was a pragmatic equivalence randomized controlled trial conducted at 24 hospitals in the United Kingdom that recruited 620 patients aged more than 60 years with an unstable
Over an eight-year period up to 1983, a total of 322 consecutive patients had operations for
We have reviewed the early complications of 121 surgically treated closed
Many orthopaedic surgeons believe that obese patients have a higher rate of peri-operative complications and a worse functional outcome than non-obese patients. There is, however, inconsistency in the literature supporting this notion. This study was performed to evaluate the effect of body mass index (BMI) on injury characteristics, the incidence of complications, and the functional outcome after the operative management of unstable
The purpose of this study was to compare the clinical and radiological outcome of patients with intact, broken and removed syndesmosis screws after Weber B or C
We report a case of fatal pulmonary embolism following a simple