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OBJECTIVES To evaluate the association between time to surgery, antibiotic administration, Gustilo grade, fracture location, and development of deep infection in open fractures. DESIGN Prospective cohort between 2001 and 2009. SETTING Three Level 1 Canadian trauma centers. PARTICIPANTS A total of 736 (791 fractures) subjects were enrolled and 686(More)
OBJECTIVES To determine factors associated with developing nonunion or delayed healing after open fracture. DESIGN Prospective cohort between 2001 and 2009. SETTING Three level 1 Canadian trauma centers. PARTICIPANTS Seven hundred thirty-six (791 fractures) subjects were enrolled. Six hundred eighty-nine (94%) subjects (739 fractures) provided(More)
Scapholunate advanced collapse is a predictable form of wrist arthritis resulting from longstanding scapholunate instability. Four-corner fusion and scaphoid excision is a reliable procedure used to treat scapholunate advanced collapse wrist that improves pain and preserves range of motion. Multiple methods of achieving fixation have been described for the(More)
BACKGROUND Shortages with resources and inefficiencies with orthopedic services in Canada create opportunities for alternative staffing models and ways to use existing resources. Physician assistants (PAs) are a common provider used in specialty orthopedic services in the United States; however, Canada has limited experience with PAs. As part of a larger(More)
OBJECTIVES Determine the proportion of subjects developing deep infection or nonunion after primary wound closure of open fractures (humerus, radius/ulna, femur, and tibia/fibula). Secondarily, a matched-series analysis compared outcomes with subjects who underwent delayed wound closure. DESIGN Prospective cohort between 2009 and 2013 of subjects(More)
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