Aims. The rationale for exacting restoration of skeletal anatomy after unstable
Aims. To describe outcome reporting variation and trends in non-pharmacological randomized clinical trials (RCTs) of distal tibia and/or
Aims.
Aims. To systematically review qualitative studies of patients with distal tibia or
Aims. Treatment of Weber B
Aims.
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. 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
Aims. Patients with diabetes are at increased risk of wound complications
after open reduction and internal fixation of unstable
Aims.
Aims. Triplane
Aims. Pneumatic tourniquets are often used during the surgical treatment of unstable traumatic
Aim.
Aims. To identify a core outcome set of postoperative radiographic measurements to assess technical skill in
Introduction. Positive reports from implant designer centres on the use of fibular nails in the complex
Introduction. Following publication of the Ankle Injury Management (AIM) trial in 2016 which compared the management of
Aims. This study aimed to compare the outcomes of two different postoperative management approaches following surgical fixation of