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Ankle fx

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3 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27869620/safety-and-outcomes-of-inpatient-compared-with-outpatient-surgical-procedures-for-ankle-fractures
#1
Charles Qin, Robert G Dekker, Jordan T Blough, Anish R Kadakia
BACKGROUND: As the cost of health-care delivery rises in the era of bundled payments for care, there is an impetus toward minimizing hospitalization. Evidence to support the safety of open reduction and internal fixation (ORIF) of ankle fractures in the outpatient setting is largely anecdotal. METHODS: Patients who underwent ORIF from 2005 to 2013 were identified via postoperative diagnoses of ankle fracture and Current Procedural Terminology codes; patients with open fractures and patients who were emergency cases were excluded...
October 19, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27727383/close-contact-casting-vs-surgery-for-initial-treatment-of-unstable-ankle-fractures-in-older-adults-a-randomized-clinical-trial
#2
RANDOMIZED CONTROLLED TRIAL
Keith Willett, David J Keene, Dipesh Mistry, Julian Nam, Elizabeth Tutton, Robert Handley, Lesley Morgan, Emma Roberts, Andrew Briggs, Ranjit Lall, Timothy J S Chesser, Ian Pallister, Sarah E Lamb
Importance: Ankle fractures cause substantial morbidity in older persons. Surgical fixation is the contemporary intervention but is associated with infection and other healing complications. Objective: To determine whether initial fracture treatment with close contact casting, a molded below-knee cast with minimal padding, offers outcome equivalent to that with immediate surgery, with fewer complications and less health resource use. Design, Setting, and Participants: This was a pragmatic, equivalence, randomized clinical trial with blinded outcome assessors...
October 11, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27045369/early-weightbearing-and-range-of-motion-versus-non-weightbearing-and-immobilization-after-open-reduction-and-internal-fixation-of-unstable-ankle-fractures-a-randomized-controlled-trial
#3
Niloofar Dehghan, Michael D McKee, Richard J Jenkinson, Emil H Schemitsch, Venessa Stas, Aaron Nauth, Jeremy A Hall, David J Stephen, Hans J Kreder
OBJECTIVES: The aim of this study was to compare early weightbearing and range of motion (ROM) to nonweightbearing and immobilization in a cast after surgical fixation of unstable ankle fractures. DESIGN: Multicentre randomized controlled trial. SETTING: Two-level one trauma centers. PATIENTS: One hundred ten patients who underwent open reduction and internal fixation of an unstable ankle fracture were recruited and randomized...
July 2016: Journal of Orthopaedic Trauma
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