Per Reidar Høiness

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OBJECTIVE To assess short-term functional results in 2 types of syn-desmotic fixation, comparing the traditional rigid quadricortical syndesmotic screw fixation with a more dynamic tricortical screw fixation. DESIGN : Prospective, randomized clinical study. SETTING University clinic, level 1 trauma center. PATIENTS Sixty-four patients with closed(More)
OBJECTIVE To determine if any differences exist in healing and complications between reamed and unreamed nailing in patients with tibial shaft fractures. DESIGN Prospective, randomized. SETTING Level 1 trauma center. PATIENTS Forty-five patients with displaced closed and open Gustilo type I-IIIA fractures of the central two thirds of the tibia. (More)
OBJECTIVE To assess long-term functional and radiologic results after two types of syndesmosis fixation, comparing one quadricortical syndesmotic screw fixation with two tricortical screw fixation in ankle fractures. DESIGN Follow up of a previously conducted prospective, randomized clinical study. SETTING University clinic, Level I trauma center. (More)
A bi-directional bicycle pedal that combines proprioceptive training and evertor strengthening has been developed for the treatment of residual instability after ankle sprains. A prospective randomized study was carried out on 19 subjects with recurrent ankle sprains and positive stress X-ray films. The subjects were randomized to use either a(More)
The charts of 118 consecutive ankle fractures were reviewed. The patients’ age, sex, energy of trauma, hospital stay, need for traction therapy, syndesmosis fixation and soft-tissue problems were related to the various types of fractures according to the AO classification. An interobserver check study revealed an agreement of 0.61 (kappa), which is(More)
The long-term prognosis after open reduction of neglected posterior hip dislocations is poor; as such, primary arthroplasty is recommended by a number of authors. We present a patient with a 5-month-old posterior hip dislocation with concomitant paralysis of the sciatic nerve who had an open reduction. At a follow-up of 3.5 years, the patient has normal(More)
BACKGROUND AND AIMS Open reduction and internal fixation of an extensively swollen ankle may lead to wound closure problems, blistering, wound edge necrosis and infection. Accordingly, internal fixation should be accomplished either before or after the period of critical soft tissue swelling. The object of the study was to investigate if the timing of(More)
Iatrogenic hypothermic injury in the treatment of traumatic disorders is a rare complication. Cryocompression therapy is widely used in the treatment of pre- and postoperative pain and swelling, but hypothermic damage to the soft tissues has not yet been reported. We present a case in which a patient sustained a hypothermic injury after continuous(More)
PURPOSE Neurological deficit resulting in the lack of motor control in children with myelomeningocele often leads to a valgus position of the feet and ankles, usually in combination with planovalgus and pronation of the forefoot. The purpose of the study was to evaluate long-term patient satisfaction and clinical effects in ambulating children with(More)
Sufficiently stable constructs may be difficult to obtain with ankle fractures in patients with severe osteopenic bone. Augmentation of the osteosynthesis with a new synthetic bone void filler may help to solve this problem, and it can improve the clinical outcome. A prospective, open-label study was performed in two surgical clinics in Norway. In 37 of 42(More)