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No evidence of progressive permanent deformation found in distal tibia fracture fixation methods

March 3, 2015

Although the use of three distal bicortical screws in the distal tibial fragment had the greatest acute biomechanical stability compared with two points of distal fixation with or without a medial blocking screw, researchers found no evidence of progressive permanent deformation in any of the fixation methods.

The researchers repaired 21 synthetic tibiae after simulation of a distal tibia metaphyseal fracture with an intramedullary nail and either two bicortical locking screws placed in the two most distal screw holes (IM-L2), three distal bicortical locking screws (IM-L3) or two distal locking screws and a single blocking screw positioned in the sagittal plane on the medial aspect of the nail (IM-L2B). The researchers then tested the specimens under combined cyclic axial and torsional loading for up to 16k cycles.

In the Journals

Operative, nonoperative treatment of pediatric clavicle factures offer similar outcomes

March 2, 2015
Researchers found no significant differences in outcome measures between pediatric patients treated operatively and nonoperatively for clavicle fractures, according to…
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No significant differences found between simple, vertical mattress shoulder repair

March 2, 2015
Although no significant differences were found in contact pressure between suture labral repair and vertical mattress labral repair of the shoulder, researchers found an…
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Isolated gastrocnemius recession offers sustained pain relief for chronic Achilles' tendinopathy

March 2, 2015
Patients with chronic Achilles’ tendinopathy experienced significant and sustained pain relief after isolated gastrocnemius recession, according to recently…
In the Journals

Patients with workers' compensation have inferior outcomes after hip arthroscopy

March 2, 2015
Patients with worker’s compensation claims had inferior functional outcomes after hip arthroscopy compared with a non-workers’ compensation group, according…
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Feature Article

Gelatin Matrix Use Reduces Postoperative Bleeding After Total Knee Arthroplasty

Orthopedics, February 2015, Volume 38 Issue 2
Bleeding after total knee arthroplasty can result in significant morbidity and increases the need for blood…
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CME
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Bundled Payments in Orthopedic Surgery: February 2015

Bundled Payments in Orthopedic Surgery: February 2015
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Sperling offers insights on RSA

February 13, 2015
KOLOA, Hawaii — John W. Sperling, MD, offers several "pearls" for orthopedic surgeons regarding reverse shoulder…
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