Aims. The primary aim was to estimate the cost-effectiveness of routine operative fixation for all patients with humeral
Aims. The aims of this study were to describe the epidemiology of metacarpal
Aims. Fractures of the humeral shaft represent 3% to 5% of all fractures. The most common treatment for isolated humeral diaphysis fractures in the UK is non-operative using functional bracing, which carries a low risk of complications, but is associated with a longer healing time and a greater risk of nonunion than surgery. There is an increasing trend to surgical treatment, which may lead to quicker functional recovery and lower rates of fracture nonunion than functional bracing. However, surgery carries inherent risk, including infection, bleeding, and nerve damage. The aim of this trial is to evaluate the clinical and cost-effectiveness of functional bracing compared to surgical fixation for the treatment of humeral
Aims. The aim of this study was to assess the safety and clinical outcome of patients with a femoral
Aims. The primary aim of this study was to determine the rates of return to work (RTW) and sport (RTS) following a humeral
Aims. To compare results of institutional preferences with regard to treatment of soft tissues in the setting of open tibial
Aims. Lower limb fractures are common in low- and middle-income countries (LMICs) and represent a significant burden to the existing orthopaedic surgical infrastructure. In high income country (HIC) settings, internal fixation is the standard of care due to its superior outcomes. In LMICs, external fixation is often the surgical treatment of choice due to limited supplies, cost considerations, and its perceived lower complication rate. The aim of this systematic review protocol is identifying differences in rates of infection, nonunion, and malunion of extra-articular femoral and tibial
Helical plates are preferably used for proximal humeral
Segmental fractures of the femoral neck and shaft present a treatment challenge. A diagnostic difficulty sometimes arises because the classical signs present in an isolated fractured neck of femur are masked by the associated femoral
Patients with a femoral
Objectives. Healing in cancellous metaphyseal bone might be different from
midshaft fracture healing due to different access to mesenchymal
stem cells, and because metaphyseal bone often heals without a cartilaginous
phase. Inflammation plays an important role in the healing of a
shaft fracture, but if metaphyseal injury is different, it is important
to clarify if the role of inflammation is also different. The biology
of fracture healing is also influenced by the degree of mechanical
stability. It is unclear if inflammation interacts with stability-related
factors. Methods. We investigated the role of inflammation in three different models:
a metaphyseal screw pull-out, a
This single-centre prospective randomised trial aimed to assess the superiority of operative fixation compared with non-operative management for adults with an isolated, closed humeral
Acute fractures of the humeral shaft are usually managed conservatively. The rate of union is high, whereas that of nonunion ranges from 1 – 6%. Various risk factors for nonunion have been identified, including the following: open
Tibial
This study investigated the effect presence, method, and timing of fixation of femoral
Intramedullary locking nails have proved to be of considerable advantage when treating complex, comminuted or segmental femoral
Fractures of the femoral shaft are generally considered to affect young patients, but we have reviewed 24 cases in patients over 60 years who have been treated by locked nailing, usually by closed methods. Most were women with low-velocity injuries, but despite this, 14 fractures were significantly comminuted. The complication rate was 54% with a peri-operative mortality of 17%. Most complications were the general ones of operating on elderly patients. Specific complications included: fractures below an abnormal hip, proximal fracture related to the nail and poor purchase in the distal femur. In all survivors, the femoral
Background. This is a continued assessment of the effectiveness of a locked intramedullary device in the treatment of acute clavicle
We analysed the results of 93 tibial
Background. Although minimally invasive plate osteosynthesis (MIPO) has become popular option for humeral