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The long-term outcome of tibial plateau fractures treated by cast bracing was observed in 29 patients sustaining 30 tibial plateau fractures more than ten years after injury. Clinical and roentgenographic evaluation was performed and showed 61% good results overall. Range of motion averaged 117 degrees. Iowa knee score averaged 71 of 100 possible points.(More)
BACKGROUND During routine follow-up of patients treated with a three-piece stainless-steel modular femoral nail, osteolysis and periosteal reaction around the modular junctions of some of the nails were noted on radiographs. The purpose of this study was to evaluate the prevalence, etiology, and clinical relevance of these radiographic findings. METHODS(More)
Despite the well-recognized association between poorly reduced intraarticular fractures and late degenerative changes, current guidelines regarding the reduction precision necessary to avoid excessive cartilage pressures are based largely on anecdotal clinical observations. To gain a quantitative appreciation of the relation between local pressure(More)
We performed a prospective study of forty-nine displaced fractures of the tibial plafond in forty-eight patients managed, at three centers, with an articulated external fixator placed medially across the ankle joint. Forty ankles had interfragmental screw fixation of a reduced articular fracture, and fourteen ankles had bone-grafting. The average duration(More)
OBJECTIVE To determine radiographic and clinical features that predict rapid failure after open reduction and internal fixation of posterior wall acetabular fractures. DESIGN Retrospective radiographic review and patient follow-up study. SETTING University hospital. PATIENTS Forty-two patients with posterior wall acetabular fractures. INTERVENTION(More)
OBJECTIVE The purpose of this study was to determine the effect of pulsed electromagnetic field (PEMF) exposure on healing tibial osteotomies in New Zealand White rabbits. DESIGN One-millimeter Gigli saw osteotomies were stabilized by external fixation. One day after surgery, rabbits were randomly assigned to receive either no exposure (sham control) or(More)
Twenty-five long-bone nonunions were stabilized until healing with a dynamic axial fixator (DAF). Seventeen cases were culture positive and ten had open draining wounds. Five cases had segmental gaps larger than 3 cm. In addition to the DAF, infected atrophic cases received debridement, coverage, and bone graft. Cases with segmental gaps were usually(More)
OBJECTIVES To report the complications and pitfalls in the treatment of complex injuries of the proximal tibia when locking plates are used. DESIGN, SETTING, AND PATIENTS This was a retrospective case series conducted at a university Level I trauma center. Thirty-seven patients with complex proximal tibia fractures (41C1, 41C2, 41C3, 41A2, 42A2) were(More)
Capsular attenuation has been seen after thermal capsulorrhaphy surgery. The purpose of this study was to evaluate the mechanical, histologic, and morphologic effects on capsular tissue after cumulative applications of radiofrequency energy. Ovine patellofemoral capsular tissue was treated with 1, 2, 4, or 8 applications of bipolar radiofrequency energy and(More)
OBJECTIVE To identify the fracture characteristics that can be reliably assessed by analysis of plain radiographs of tibial plateau fractures. DESIGN Radiographic review study. PARTICIPANTS Five orthopaedic traumatologists served as observers. INTERVENTION Observers made assessments based on the radiographs of fifty-six tibial plateau fractures.(More)