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A Prospective Randomized Multicenter Trial Comparing Clinical Outcomes of Patients Treated Surgically with a Static or Dynamic Implant for Acute Ankle Syndesmosis Rupture (JOT 2015)

Study hypothesis Dynamic fixation would provide better clinical and radiographic outcomes Design 70 pts total between 5 centers (ended with 32 in screw and 33 in tightrope) no differences b/w pts surgery < 8 days after injury prospective, randomized, double blinded study exclusion criteria: polytrauma, neuro impairment, BMI >40, poor medical condition that limited rehab or participation in study’s tests…

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Assessment of Instability Factors in Adult Distal Radius Fractures – Nesbitt et al (J Hand Surg 2004)

PMID 15576227 Lafontaine factors of instability initial dorsal angulation of greater than 20 degrees dorsal comminution radiocarpal intraarticular involvement associated ulna fractures age greater than 60 This study looked at 50 patients with radiographs at 1 week, 2 weeks, and 4 weeks after reduction Age was found to be a statistically significant predictor of secondary displacement Age was the only…

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Prediction of Instability in Distal Radius Fractures – Mackenney et al (JBJS 2006)

http://www.ncbi.nlm.nih.gov/pubmed/16951109 Prospective collection of data on 4000 distal radial fractures collected at the Edinburgh Orthopaedic Trauma Unit Outcome measures included radiographic measurements at 1 week and 6 weeks Results: Predictors of early and late instability were patient age, metaphyseal comminution, and ulnar variance. Minimally displaced fractures only had a 10% chance of later instability Displaced fractures had 43% chance of…

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Functional Outcomes for Unstable Distal Radial Fractures Treated with Open Reduction and Internal Fixation or Closed Reduction and Percutaneous Fixation – Rozental et al (JBJS 2009)

PubMed extraarticular or simple split intraarticular distal radius fractures ORIF (open reduction and internal fixation) has better functional (DASH) outcomes at 6, 9, and 12 weeks. outcomes were the same at a year  

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