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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 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 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)
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)
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)
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)
Background: Assessment of costs following open reduction and internal fixation of closed ankle fractures has not been reported previously. Patients and Methods: All 224 patients admitted to Ulleval University Hospital with an ankle fracture during two 12-month periods in 1995 and 1998 were evaluated for inclusion, 191 patients (118 women, 73 men) treated(More)
18 patients treated with primary or secondary amputations after severe lower limb open fractures were studied. All limbs had clinical signs of a compromised circulation at the primary evaluation. The various injuries are described and discussed with respect to the general guidelines for primary amputation. The Mangled Extremity Severity Score (MESS) and(More)