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The Results of Early Primary Open Reduction and Internal Fixation for Treatment of OTA 43.C-Type Tibial Pilon Fractures: A Cohort Study
Objectives: The optimal treatment for pilon fractures remains controversial. We have used early single-stage open reduction and internal fixation (ORIF) to treat these injuries and the purpose of
Distal clavicle fracture radiography and treatment: a pictorial essay
TLDR
The anatomy of the distal clavicle and surrounding ligaments, options for radiographic evaluation, relevant classification systems, and current concepts in management are reviewed.
Acute shoulder trauma: what the surgeon wants to know.
TLDR
The authors review the relevant osseous, soft-tissue, and vascular anatomy and describe the clinically relevant concepts that affect management of shoulder trauma.
Human and Other Mammalian Bite Injuries of the Hand: Evaluation and Management
TLDR
Assessment and management of any mammal bite requires recognition, early wound cleansing, evaluation of injured structures, and infection prophylaxis, which typically require débridement, empiric antibiotics, and delayed repair or reconstruction.
Differentiation Between Pyogenic Flexor Tenosynovitis and Other Finger Infections
TLDR
Kanavel signs have high sensitivity for detecting PFT but have poor specificity on an individual basis, and clinical prediction algorithms that combine the relevant factors may be helpful in the development of clinical prediction tools and educational materials for optimization of emergency hand care systems.
Single- Versus Multiple-Dose Antibiotic Prophylaxis in the Surgical Treatment of Closed Fractures: A Meta-Analysis
TLDR
In the setting of closed long bone fractures, the pooled results failed to demonstrate superiority of multiple-dose prophylaxis over a single-dose strategy, and the pooled estimates suggest that surgical wound infections are relatively rare events and that any potential difference in infection rates between proPHylaxis strategies is likely quite small.
Meta-analysis: prophylactic drainage and bleeding complications in thyroid surgery.
TLDR
The literature has insufficient evidence to recommend routine drainage in thyroid surgery, and if there is a benefit to drainage, absolute risk reductions of bleeding outcomes may not warrant routine use.
Management of the Mangled Upper Extremity: A Critical Analysis Review
TLDR
Management of the mangled upper extremity prioritizes life before limb, with control of bleeding most often achieved with direct pressure, and occupational therapy, physical therapy, prosthetics, and psychological support are essential parts of the management.
Complex distal radius fractures.
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