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An analysis of outcomes of reconstruction or amputation after leg-threatening injuries.
Patients with limbs at high risk for amputation can be advised that reconstruction typically results in two-year outcomes equivalent to those of amputation. Expand
Prevalence of chronic pain seven years following limb threatening lower extremity trauma
It is possible that for patients within these high risk categories, early referral to pain management and/or psychologic intervention may reduce the likelihood or severity of chronic pain. Expand
Early predictors of long-term work disability after major limb trauma.
Although the causal pathway from injury to impairment and work disability is complex, this study points to several factors that influence RTW that suggest strategies for intervention. Expand
Effect of trauma and pelvic fracture on female genitourinary, sexual, and reproductive function.
It was found that pelvic trauma negatively affected the genitourinary and reproductive function of female patients and the increased rate of cesarean section in women after pelvic trauma may be multifactorial in origin and warrants further investigation. Expand
Long-term persistence of disability following severe lower-limb trauma. Results of a seven-year follow-up.
The results confirm previous conclusions that reconstruction for the treatment of injuries below the distal part of the femur typically results in functional outcomes equivalent to those of amputation. Expand
Impact of Smoking on Fracture Healing and Risk of Complications in Limb-Threatening Open Tibia Fractures
The first to prospectively examine time to union, as well as major complications of the fracture healing process, while adjusting for potential confounders, highlights the need for orthopaedic surgeons to encourage their patients to enter a smoking cessation programs. Expand
Intramedullary stabilization of humeral shaft fractures in patients with multiple trauma.
Sixty-one patients with multiple injuries, which included sixty-three fractures of the humeral diaphysis, were treated by intramedullary stabilization of the fracture with Rush rods or Ender nails, and the surgical technique of closed fixation by retrograde insertion is presented. Expand
Heterotopic ossification as a complication of acetabular fracture. Prophylaxis with low-dose irradiation.
In a retrospective review of thirty-seven patients who had operative treatment for thirty-eight complex acetabular fractures, postoperative low-dose irradiation was administered to seventeen patientsExpand
Maintenance of hardware after early postoperative infection following fracture internal fixation.
Deep infection after internal fixation of a fracture can be treated successfully with operative débridement, antibiotic suppression, and retention of hardware until fracture union occurs, and several variables were not significant but trended toward an association with failure. Expand
Outcome after fixation of ankle fractures with an injury to the syndesmosis: the effect of the syndesmosis screw.
The data do not support the removal of intact or broken syndesmosis screws, and it is cautioned against attributing post-operative ankle pain to breakage of the syndesmotic screw. Expand