Aims.
Aims. Triplane
Aims. Pneumatic tourniquets are often used during the surgical treatment of unstable traumatic
Aims. To identify a core outcome set of postoperative radiographic measurements to assess technical skill in
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. This study aimed to compare the outcomes of two different postoperative management approaches following surgical fixation of
Aims. To systematically review qualitative studies of patients with distal tibia or
Aims. Treatment of Weber B
Aims.
Aims.
Aims. Paediatric triplane fractures and adult trimalleolar
Aims. Posterior malleolar (PM) fractures are commonly associated with
Aims. To compare the cost-utility of removable brace compared with cast in the management of adult patients with
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
The October 2024 Trauma Roundup. 360. looks at: Early versus delayed weightbearing following operatively treated
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
Diabetes mellitus is considered an indicator of poor prognosis for acute