Ankle Fracture Stability–Based Classification: A Study of Reproducibility and Clinical Prognostic Ability

Objective: To compare the reproducibility and prognostic capacity of 2 commonly used ankle fracture classifications to the stability-based classification. Methods: One hundred ninety-three consecutive rotational-type ankle fractures treated during a year at our institution in patients older than 18 years were retrospectively analyzed. Pilon and pathologic fractures were excluded. The fractures were treated by attending physicians who were unaware of the stability-based classification system. Three observers classified injury radiographs using the Lauge-Hansen, Weber/AO, and stability-based classifications systems. Reproducibility (interobserver variation) of each classification system was calculated using kappa statistics. Prognostic values were evaluated by calculating the area under the curve for the receiver-operating characteristic curves (using surgery as the positive outcome). Results: The stability-based and Weber/AO classifications showed better reproducibility [kappa 0.938 (95% confidence interval 0.921–0.952), kappa 0.97 (0.961–0.976)], respectively, than the Lauge-Hansen [kappa 0.74 (0.664–0.795); P
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research

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ConclusionsFunctional outcomes of fractures managed surgically revealed good results, even in the fractures presenting more than 12 weeks after injury. Families with children presenting late should be offered ORIF to improve function and decrease symptoms.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
ConclusionIn children with DDH under the age of two, open reduction with capsulorrhaphy may benefit acetabular remodeling more so than closed reduction despite maintenance of reduction. Although AVN remains a risk, higher remodeling might be expected with open reduction.
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Publication date: Available online 13 September 2019Source: Saudi Journal of Biological SciencesAuthor(s): Lele Hou, Jiafa Hou, Zhenlei Zhou, Yifeng Deng, Dawei YaoAbstractThirty six 56-week-old ISA cage layers were divided into two groups randomly. The cage layers in control group (12 birds) and experiment group (24 birds) were respectively injected with 300 µL sodium chloride and 300 μg eucaryon recombinant plasmid pcDNA3.1(+)-chOPG. Eighty 56-week-old ISA cage layers were divided into group A, B, C and D randomly. Group A is for control group, while plasmid pcDNA3.1(+)-chOPG was injected to B, C, D groups in mu...
Source: Saudi Journal of Biological Sciences - Category: Biology Source Type: research
DiscussionUsing the navigation system, combined anteversion is made near the target angle in isolated acetabular revision surgery and more accurately than manual implantation. These results should be considered as preliminary since this is a limited cohort, but it brings new knowledge in navigation considering the very limited number of series using of navigation in isolated cup revision of total hip arthroplasty. In addition this is the first study to investigate combined cup and stem anteversion in isolated acetabular revision. The use of CT-scan is helpful to diagnose error in stem anteversion and to adapt the orientati...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Objective: Identify features on computed tomography (CT) that predict mastoidectomy conversion (MC) during transcanal endoscopic ear surgery (TEES). Study Design: Retrospective case-control. Setting: University otology practice. Patients: Consecutive patients with cholesteatoma. Intervention: TEES cholesteatoma dissection versus those requiring MC. Main Outcome Measures: Antrum opacification, depth of scutum involvement, and erosion of the mastoid trabeculae, ossicular chain, and tegmen were evaluated. Univariable and multivariable regression analysis was performed. The Antrum–Malleus–Tegmen (A...
Source: Otology and Neurotology - Category: ENT & OMF Tags: MIDDLE EAR AND MASTOID DISEASE Source Type: research
Publication date: Available online 12 September 2019Source: Journal of Dental SciencesAuthor(s): Chih-Yu Lin, Chun-Liang Kuo, Cheng-Yu Hsieh, Jen-Chang Yang, Kai-Ti Chang, Hsiao-Ting Huang, Sung-Chih Hsieh, Nai-Chia Teng
Source: Journal of Dental Sciences - Category: Dentistry Source Type: research
Publication date: Available online 11 September 2019Source: Journal of OrthopaedicsAuthor(s): Josephine Olsen Kipp, Martin Lamm, Kjeld Søballe, Stig Storgaard JakobsenAbstractTwo-stage revision with ‘StageOne™ Select Hip Cement Spacer’ is used as treatment of periprosthetic hip joint infection.The aim is to evaluate complications and restoration the joint with the StageOne Select Spacer.From 2013 to 2018 twenty-nine StageOne Select Spacers was inserted. Data was obtained through medical records and radiographs.3.5% dislocated the spacer, 6.9% sustained a femoral fracture, 6.9% got reinfected and 6....
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
ConclusionThis is a suitable technique in the management of large acetabular defects in revision hip arthroplasty, especially in the low demand patient population. It is a simple cost-effective technique that reduces the complexity of the acetabular revision, operative time, and morbidity associated with prolonged complex revision surgery.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
Authors: S. Germonpr é, G. Vermaut and J. Trybou.RadioprotectionPublished online: 13/09/2019 Keywords: radiography ; fluoroscopy ; patient protection ; quality assurance.
Source: Radioprotection - Category: Occupational Health Authors: Tags: radiography fluoroscopy patient protection quality assurance Source Type: research
Large glenoid defects present a challenge during primary and revision reverse total shoulder arthroplasty (RTSA) especially when humeral head autograft is not available as a bone graft source. The purpose of this study was to evaluate the clinical and radiographic outcomes of RTSA with concomitant structural allografting to reconstruct large glenoid defects.
Source: Journal of Shoulder and Elbow Surgery - Category: Orthopaedics Authors: Source Type: research
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